PARKVIEW HEALTH SYSTEM INC (NPI# 1568617256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568617256 |
Entity Type | Organization |
Organization Name | PARKVIEW HEALTH SYSTEM INC |
Other Organization Name | PARKVIEW PHYSICIANS GROUP COLONG AND RECTAL SURGERY |
Practice Address |
11104 Parkview Circle Dr Ste 320 Fort Wayne IN 46845-1733 |
Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
Practice Telephone | 2602665300 |
Practice Fax Number | 2602665314 |
Mailing Telephone | 2602668210 |
Mailing Fax Number | 2604585636 |
Enumeration Date | 2008-11-21 |
Last Update Date | 2018-06-16 |
Authorized Official Name | KRISTINA BIGELOW (DIRECTOR) |
Authorized Official Telephone | 2602661403 |
Is Organization Subpart | Y |
Parent Organization Name | PARKVIEW HEALTH SYSTEM, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Parkview Physicians Group | Doing Business As Name - Organization |
Parkview Physicians Group Colong and Rectal Surgery | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174826101 | Parkview Health System Inc | Durable Medical Equipment & Medical Supplies | 3250 Intertech Dr, Suite A, Angola, IN 46703-7223 | 2010-12-14 |
1619289972 | Parkview Health System Inc | Durable Medical Equipment & Medical Supplies | 333 N Oak St, Suite B, Columbia City, IN 46725-1600 | 2010-07-02 |
1912219270 | Parkview Health System Inc | Durable Medical Equipment & Medical Supplies | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2010-07-02 |
1326359514 | Parkview Health System Inc | Durable Medical Equipment & Medical Supplies | 8028 Carnegie Blvd, Suite 400, Fort Wayne, IN 46804-5787 | 2010-06-23 |
1932130952 | Parkview Health System Inc | Pediatrics | 3909 New Vision Dr, Fort Wayne, IN 46845-1725 | 2006-07-06 |
Street Address |
11104 PARKVIEW CIRCLE DR STE 320 |
City | FORT WAYNE |
State | IN |
Zip Code | 46845-1733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083251714 | Christina Surine | Registered Nurse | 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1733 | 2019-12-02 |
1588217566 | Amber M Ritter | Registered Nurse | 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1733 | 2019-07-19 |
1841859188 | Kenda C Osterholt | Registered Nurse | 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1733 | 2019-06-11 |
1639451578 | Vemuru Sunil Kumar Reddy | Colon & Rectal Surgery | 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1672 | 2011-09-16 |
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 | 208C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Colon & Rectal Surgery |
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
1568795409 | Center for Colon and Rectal Care LLC | Colon & Rectal Surgery | 12012 Wood Glen Dr, Fort Wayne, IN 46814-4515 | 2009-09-10 |
1740689207 | Associated Surgeons & Physicians, LLC | Colon & Rectal Surgery | 7910 W Jefferson Blvd, Suite 305, Fort Wayne, IN 46804-4159 | 2014-08-20 |
1639451578 | Vemuru Sunil Kumar Reddy | Colon & Rectal Surgery | 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1672 | 2011-09-16 |
1104026657 | Colon-rectal Surgeons of Fort Wayne, PC | Colon & Rectal Surgery | 7900 W Jefferson Blvd, Suite 302, Fort Wayne, IN 46804-4128 | 2007-07-23 |
1598961393 | Joshua Michael Wallet | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-06-27 |
1265636138 | Charles Lamont Morrison | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-06-13 |
1477676658 | Hisham S Elhassan | Colon & Rectal Surgery | 11141 Parkview Plaza Dr, Suite 310, Fort Wayne, IN 46845-1701 | 2007-04-10 |
1346336575 | Glenn L Goldstein | Colon & Rectal Surgery | 7900 W Jefferson Blvd, Suite 302, Fort Wayne, IN 46804-4128 | 2006-10-05 |
1821184052 | Nadine L Floyd | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-10-05 |
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.