ORTHOPAEDICS NORTHEAST PC (NPI# 1417936477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417936477 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDICS NORTHEAST PC |
| Other Organization Name | SURGERY ONE |
| Practice Address |
11420 Parkview Circle Dr Fort Wayne IN 46845-1729 |
| Mailing Address |
5050 N Clinton St Fort Wayne IN 46825-5822 |
| Practice Telephone | 2604848551 |
| Practice Fax Number | 2604906996 |
| Mailing Telephone | 2604848551 |
| Mailing Fax Number | 2604906996 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | JOHN C PRITCHARD (PRESIDENT) |
| Authorized Official Telephone | 2604848551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100274410 | 05 | |
| IN | RAIL ROAD MEDICARE | 490001781 | 01 |
| Other Name | Type Code |
|---|---|
| Surgery One | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801952189 | Orthopaedics Northeast PC | Durable Medical Equipment & Medical Supplies | 5052 N Clinton St, Fort Wayne, IN 46825-5822 | 2006-12-29 |
| 1194027946 | Orthopaedics Northeast PC | Durable Medical Equipment & Medical Supplies | 11420 Parkview Circle Dr, Fort Wayne, IN 46845-1729 | 2010-11-30 |
| 1114083508 | Orthopaedics Northeast PC | Durable Medical Equipment & Medical Supplies | 5050 N Clinton St, Fort Wayne, IN 46825-5822 | 2006-12-29 |
| 1801856349 | Orthopaedics Northeast PC | Orthopaedic Surgery | 1381 N Wayne St, Angola, IN 46703-2348 | 2006-03-27 |
| 1740268796 | Orthopaedics Northeast PC | Orthopaedic Surgery | 5050 N Clinton St, Fort Wayne, IN 46825-5822 | 2006-01-09 |
| Street Address |
11420 PARKVIEW CIRCLE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063757227 | Parkview Ortho Center, LLC | Clinic/Center | 11420 Parkview Circle Dr, Fort Wayne, IN 46845-1729 | 2012-11-29 |
| 1194027946 | Orthopaedics Northeast PC | Durable Medical Equipment & Medical Supplies | 11420 Parkview Circle Dr, Fort Wayne, IN 46845-1729 | 2010-11-30 |
| 1619906161 | Coleen L Brown | Nurse Anesthetist, Certified Registered | 11420 Parkview Circle Dr, Fort Wayne, IN 46845-1729 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1881871580 | Fort Wayne Ophthalmic Surgical Center, PC | Clinic/Center | 321 E. Wayne Street, Fort Wayne, IN 46802-2713 | 2008-01-24 |
| 1114950292 | Mgfw Surgery Center, LLC | Clinic/Center | 7916 W. Jefferson Blvd., Ste 100, Fort Wayne, IN 46804 | 2006-07-09 |
| 1144275629 | Foundation Surgery Affiliate of Fort Wayne, LLC | Clinic/Center | 8004 Carnegie Blvd., Fort Wayne, IN 46804-5785 | 2006-05-23 |
| 1780218115 | Surgery Center of Fort Wayne | Clinic/Center | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2020-02-25 |
| 1063757227 | Parkview Ortho Center, LLC | Clinic/Center | 11420 Parkview Circle Dr, Fort Wayne, IN 46845-1729 | 2012-11-29 |
| 1588991228 | The Eye Surgical Center of Fort Wayne, LLC | Clinic/Center | 321 E Wayne St, Fort Wayne, IN 46802-2713 | 2009-11-17 |
| 1295749117 | Ft Wayne Cardiac Center LLC | Clinic/Center | 7910 W Jefferson Blvd, Ste. 120, Fort Wayne, IN 46804-4159 | 2006-07-28 |
| 1790709376 | Premier Surgery Center LLC | Clinic/Center | 11141 Parkview Plaza Dr, Suite 200, Fort Wayne, IN 46845-1701 | 2006-07-27 |
| 1093746380 | Surgicenter Group LLC | Clinic/Center | 321 E Wayne St, Fort Wayne, IN 46802-2713 | 2006-07-05 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on ORTHOPAEDICS NORTHEAST PC.
| 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.