RAYMOND E DUSMAN JR. (NPI# 1568464972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568464972 |
Entity Type | Individual |
Full Name | RAYMOND E DUSMAN JR. |
Credential | MD |
Practice Address |
1819 Carew St Fort Wayne IN 46805-4705 |
Mailing Address |
1234 E. Dupont Rd. 3 Fort Wayne IN 46825-1545 |
Practice Telephone | 2604814700 |
Practice Fax Number | 2604814808 |
Mailing Telephone | 2603739700 |
Mailing Fax Number | 2603739740 |
Enumeration Date | 2005-08-15 |
Last Update Date | 2013-03-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01033566A | IN | Allopathic & Osteopathic Physicians |
N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
01033566A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM | 000000641075 | 01 |
IN | 100321280 | 05 | |
IN | R.R. MEDICARE | P00785633 | 01 |
OH | 0783933 | 05 | |
IN | RR MEDICARE | 060070557 | 01 |
Street Address |
1819 CAREW ST |
City | FORT WAYNE |
State | IN |
Zip Code | 46805-4705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396345492 | Brandon Capalbo | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-10-28 |
1124626718 | Madeline Alexander | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-10-15 |
1083211395 | Aaron Oscar Peterson | Student in an Organized Health Care Education/Training Program | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-10-08 |
1871109603 | Megan N Hargett | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-09-17 |
1790391571 | Laynie Lyn Mason | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-09-17 |
1275147423 | Erin Marie Barnum | Student in an Organized Health Care Education/Training Program | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-09-04 |
1205449345 | Christopher Paul Thompson | Student in an Organized Health Care Education/Training Program | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-28 |
1871106245 | Sarrina Patel | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-26 |
1053924415 | Tanner Stippich | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-26 |
1225641681 | Alexandra Bebeau | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-08-26 |
Find all providers in the same location |
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 |
Find all providers in zip 46805 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1780919886 | Heart Care LLC | Internal Medicine | 7806 W Jefferson Blvd, Suite D, Fort Wayne, IN 46804-4180 | 2009-10-07 |
1003078312 | Dustin M Thomas | Internal Medicine | 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2008-06-27 |
1174625065 | Baltes Cardiology | Internal Medicine | 821 Broadway, Fort Wayne, IN 46802-2107 | 2006-09-02 |
1922117571 | Louis Alfred Lopez | Internal Medicine | 604 W Berry St, Fort Wayne, IN 46802-2106 | 2006-08-29 |
1821068511 | Subhash Reddy | Internal Medicine | 7806 W Jefferson Blvd Ste D, Fort Wayne, IN 46804-4180 | 2006-01-25 |
1215917844 | Gary A. Hambel | Internal Medicine | 11108 Parkview Circle Dr., Fort Wayne, IN 46845-1730 | 2006-01-19 |
1932199627 | J. Rod Gimbel | Internal Medicine | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2005-10-25 |
1427058825 | Motaz Shaher | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804 | 2005-07-28 |
1710986443 | Lawrence E Gering | Internal Medicine | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2005-07-15 |
1376833129 | Azriel Avezbadalov | Internal Medicine | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-04-13 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46805 |
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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.