EDWARD A. LELONEK (NPI# 1336141324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336141324 |
| Entity Type | Individual |
| Full Name | EDWARD A. LELONEK |
| Credential | MD |
| Practice Address |
7956 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
| Practice Telephone | 2604352836 |
| Practice Fax Number | 2604356726 |
| Mailing Telephone | 2604793514 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2018-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01037618A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 000000095605 | 01 |
| IN | 100360500 | 05 |
| Street Address |
7956 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308413 | Isa S. Canavati | Neurological Surgery | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-06-30 |
| 1689283327 | Stephen Andrew Grote | Physician Assistant | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-29 |
| 1265041016 | Sara Mae Stout | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-28 |
| 1407481468 | Kathryn M. Mckible | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-03-10 |
| 1841824893 | Natasha L. Myers | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-02-28 |
| 1366901902 | Adrienne Michelle Evans | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-03-13 |
| 1952883084 | Kristin J. Abbs | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2018-09-05 |
| 1134655392 | Nirupama Esther Jerome | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-05-10 |
| 1609324342 | Melanie J. Heath | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2016-09-12 |
| 1164880605 | Jennifer Lynn Ritchie | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053709402 | Sheila Falloon Md LLC | Internal Medicine | 6232 Shady Creek Ct, Fort Wayne, IN 46814-3298 | 2015-01-07 |
| 1043644354 | Fort Wayne Medical Clinic PC | Internal Medicine | 3537 N Anthony Blvd Ste C, Fort Wayne, IN 46805-1423 | 2013-08-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1215377296 | Ram Kishun Verma | Internal Medicine | 1234 E Dupont Rd Ste 5, Fort Wayne, IN 46825 | 2013-07-05 |
| 1871840934 | Amabel Pia A Lapuebla | Internal Medicine | 11104 Parkview Circle Dr Ste 440, Fort Wayne, IN 46845-1672 | 2012-08-08 |
| 1538432141 | C & D Healthcare Services, LLC | Internal Medicine | 327 E Wayne St, Fort Wayne, IN 46802-2753 | 2012-02-13 |
| 1407141500 | Patrick Joseph Wise | Internal Medicine | 6435 W Jefferson Blvd, Fort Wayne, IN 46804-6203 | 2011-06-16 |
| 1235438185 | Blue Crescent Blue Star Medical of Indiana, Inc | Internal Medicine | 2326 Hobson Rd, Fort Wayne, IN 46805-2916 | 2011-03-17 |
| 1336441948 | Vishaal Veerula | Internal Medicine | 7802 W. Jefferson Blvd. #b, Fort Wayne, IN 46804 | 2010-12-02 |
| 1609019900 | Srisai P C | Internal Medicine | 7972 West Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4140 | 2009-04-16 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.