ALTIN MIRAKA (NPI# 1518133792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518133792 |
| Entity Type | Individual |
| Full Name | ALTIN MIRAKA |
| Credential | DO |
| Practice Address |
11141 Parkview Plaza Dr Ste 320 Fort Wayne IN 46845-1714 |
| Mailing Address |
31125 Portside Dr Apt# 6206 Novi MI 48377-4245 |
| Practice Telephone | 2604255400 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 02005220A | IN | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 5101019268 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1050 Reid Pkwy Ste 325, Richmond, IN 473741161 | 7659628551 | 7659622591 |
| 2 Hurley Plz, Suite 109, Flint, MI 485035903 | 8102627300 |
| Street Address |
11141 PARKVIEW PLAZA DR STE 320 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578532479 | David S Turk | Urology | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2006-03-15 |
| 1447888409 | Cassandra N Jones | Registered Nurse | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2020-03-27 |
| 1235692500 | Felisha Gaetz | Registered Nurse | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2019-04-12 |
| 1922587500 | Storey Waters | Nurse Practitioner | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2018-08-14 |
| 1144555020 | Parkview Health System, Inc. | Physician Assistant | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2009-10-09 |
| 1356591119 | Alison Nicole Hopper | Physician Assistant | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2008-09-29 |
| 1205856382 | Jorge Arzola | Urology | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2006-07-20 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225287998 | George W. Bowers | Urology | 12002 Haddington Court, Fort Wayne, IN 46814 | 2008-09-17 |
| 1437116530 | Adam Craig Thomas | Urology | 2512 E. Dupont Road, Suite 100, Fort Wayne, IN 46825 | 2006-05-01 |
| 1578532479 | David S Turk | Urology | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2006-03-15 |
| 1891795852 | Mark Daniel Dabagia | Urology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2005-07-29 |
| 1962637652 | Christopher B King | Urology | 2512 E Dupont Rd Ste 100, Fort Wayne, IN 46825-1609 | 2009-05-25 |
| 1508945809 | Fort Wayne Urology Inc. | Urology | 1818 Carew St, Suite 210, Fort Wayne, IN 46805-4788 | 2006-11-06 |
| 1598776668 | Scott L. Palmer | Urology | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2006-08-11 |
| 1457362717 | Rhys Rudolph | Urology | 1818 Carew St, Suite 210, Fort Wayne, IN 46805-4788 | 2006-08-11 |
| 1831100015 | Satish Velagapudi | Urology | 1818 Carew St, Suite 210, Fort Wayne, IN 46805-4788 | 2006-08-11 |
| 1407867047 | Craig Hamilton | Urology | 1818 Carew St, Suite 210, Fort Wayne, IN 46805-4788 | 2006-08-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.