AJAY S GUPTA (NPI# 1487651873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487651873 |
| Entity Type | Individual |
| Full Name | AJAY S GUPTA |
| Credential | M.D. |
| Practice Address |
2510 E Dupont Rd Ste 226 Fort Wayne IN 46825-1603 |
| Mailing Address |
7956 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Practice Telephone | 2604603100 |
| Practice Fax Number | 2604603130 |
| Mailing Telephone | 2604362416 |
| Mailing Fax Number | 2604369662 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01037375A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0839507 | 05 | |
| IN | 100258670 | 05 | |
| IN | RR MEDICARE | 130023781 | 01 |
| MI | 4596849 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689927733 | Ajay Gupta | Pharmacist | 7777 E 23rd Ave, #1405, Denver, CO 80238-2741 | 2012-10-25 |
| 1316049265 | Ajay K Gupta | Ophthalmology | 2414 Kohler Memorial Dr Ste 230, Sheboygan, WI 53081-3129 | 2006-09-02 |
| 1215974225 | Ajay Gupta | Internal Medicine | 401 Hamburg Tpke Ste 109, Wayne, NJ 07470-2139 | 2006-05-31 |
| 1629026067 | Ajay K Gupta | Family Medicine | 4515 Seton Center Pkwy Ste 220, Austin, TX 78759 | 2006-05-05 |
| 1821575424 | Ajay Gupta | Pharmacist | 2001 Neuse Blvd, New Bern, NC 28560-3470 | 2018-07-26 |
| 1710321914 | Ajay Gupta | Pediatrics | Elm and Carlton Streets, Buffalo, NY 14263 | 2013-04-18 |
| 1598052318 | Ajay Gupta | Hospitalist | 301 Yadkin St, Albemarle, NC 28001-3441 | 2011-06-30 |
| 1902058829 | Ajay Gupta | Radiology | 525 E 68th St, Box 141, New York, NY 10065-4885 | 2008-10-22 |
| 1487803466 | Ajay Gupta | Speech-Language Pathologist | 25865 W 12 Mile Rd, Southfield, MI 48034-1817 | 2008-09-15 |
| 1043492341 | Ajay Gupta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5325 Elliott Dr, Suite Number 102, Ypsilanti, MI 48197-8633 | 2007-11-29 |
| Street Address |
2510 E DUPONT RD STE 226 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540823 | Madhav H. Bhat | Psychiatry & Neurology | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2005-06-30 |
| 1497130272 | Pamela L Mcmaster | Registered Nurse | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2015-07-22 |
| 1417907189 | Stacy L Johnson | Nurse Practitioner | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2006-05-11 |
| 1609867605 | Allied Physicians Inc | Psychiatry & Neurology | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480800 | Bhupendra K Shah | Psychiatry & Neurology | 2452 Lake Ave, Fort Wayne, IN 46805-5406 | 2005-07-12 |
| 1184621641 | Thomas J. Curfman | Psychiatry & Neurology | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1376540823 | Madhav H. Bhat | Psychiatry & Neurology | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2005-06-30 |
| 1508863051 | Thomas M. Banas | Psychiatry & Neurology | 7956 West Jefferson Blvd, Fort Wayne, IN 46804-4159 | 2005-06-30 |
| 1093102022 | Leah Dickstein | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2015-04-16 |
| 1316366735 | Christopher Vachon | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804 | 2014-04-14 |
| 1467728378 | Usman Kareem Qadeer | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2012-03-25 |
| 1992091656 | Natalie Cornay Manalo | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-06-21 |
| 1083828719 | Marlene Clare Bultemeyer | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-05-10 |
| 1306050257 | John S. Pidgeon | Psychiatry & Neurology | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2007-05-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on AJAY S GUPTA.
| 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.