THOMAS P VAN DEN DRIESSCHE


Address: 3030 Lake Ave, Suite 32, Fort Wayne, IN 46805-5428
Phone: 2604243134

THOMAS P VAN DEN DRIESSCHE (NPI# 1538349956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538349956
Entity Type Organization
Organization Name THOMAS P VAN DEN DRIESSCHE
Practice Address 3030 Lake Ave
Suite 32
Fort Wayne
IN 46805-5428
Practice Telephone 2604243134
Practice Fax Number 2604243138
Mailing Telephone 2604243134
Mailing Fax Number 2604243138
Enumeration Date 2007-11-14
Last Update Date 2007-11-14
Authorized Official Name DR. THOMAS P VAN DEN DRIESSCHE (OWNER)
Authorized Official Telephone 2604243134
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 01028709A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RR MEDICARE GROUP CK2666 01

Office Location

Street Address 3030 LAKE AVE
SUITE 32
City FORT WAYNE
State IN
Zip Code 46805-5428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073507745 Thomas P Van Den Driessche Family Medicine 3030 Lake Ave, Suite32, Fort Wayne, IN 46805-5428 2005-09-08
1417494170 Linzie Tuck Behavioral Analyst 3030 Lake Ave, Suite 20, Fort Wayne, IN 46805-5428 2017-01-19
1447587696 Indiana Endocrine Specialist, LLC Clinic/Center 3030 Lake Ave, Suite 17, Fort Wayne, IN 46805-5428 2009-11-09
1225204613 Marilyn Arlene Nathan Psychologist 3030 Lake Ave, Fort Wayne, IN 46805-5428 2008-05-05
1417156456 Nora Marie Stewart Audiologist-Hearing Aid Fitter 3030 Lake Ave, Suite 23, Fort Wayne, IN 46805-5428 2007-07-11
1093916959 Little Turtle Pediatrics, P.C. Pediatrics 3030 Lake Ave, Suite 10, Fort Wayne, IN 46805-5428 2007-05-29
1780899096 Michael Joseph Luarde Dentist 3030 Lake Ave, Suite 19, Fort Wayne, IN 46805-5428 2007-05-11
1093938102 Interdisciplinary Diagnostic and Evaluation Center, Inc. Clinic/Center 3030 Lake Ave, Suite 7, Fort Wayne, IN 46805-5428 2007-04-10
1790801512 Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC Allergy & Immunology 3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428 2007-03-22
1568595999 Pediatrics Center of Fort Wayne, P.C. Pediatrics 3030 Lake Ave, #25a, Fort Wayne, IN 46805-5428 2007-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760912026 Christina A Tatara Family Medicine 6511 E State Blvd, Fort Wayne, IN 46815-7026 2017-06-19
1700317633 Robert Campbell Family Medicine 7411 Hope Dr, Fort Wayne, IN 46815-5687 2017-03-22
1487196424 American Vein Institute LLC Family Medicine 10020 Dupont Circle Ct Ste 140, Fort Wayne, IN 46825-1621 2016-11-08
1831547124 Anna Menze Family Medicine 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1633 2016-05-27
1407203672 Credo Health Group, LLC Family Medicine 10228 Dupont Circle Dr E # 100b, Fort Wayne, IN 46825-1611 2016-05-18
1649625104 Gabrielle Paloma Acquaro Family Medicine 7806 W Jefferson Blvd Ste E, Fort Wayne, IN 46804-4180 2016-05-03
1720491731 John E Marx Family Medicine 1007 W Rudisill Blvd, Fort Wayne, IN 46807-2170 2014-06-06
1457763252 Amy Simpson Family Medicine 1818 Carew St Ste 120, Fort Wayne, IN 46805-4764 2014-05-28
1932536083 Clifford James Shultz Family Medicine 2616 Covington Pointe Trl, Fort Wayne, IN 46804-2773 2013-10-03
1164860086 Andrew J Mullally Family Medicine 10050 Auburn Park Dr, Fort Wayne, IN 46825-2389 2013-06-13
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Competitor

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City FORT WAYNE
Zip Code 46805

Improve Information

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Dataset Information

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.

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