THEKKUMKATTIL D JAMES (NPI# 1578523676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578523676 |
| Entity Type | Individual |
| Full Name | THEKKUMKATTIL D JAMES |
| Credential | MD |
| Practice Address |
2510 E Dupont Rd Ste 200 Fort Wayne IN 46825 |
| Mailing Address |
1234 E Dupont Rd Suite1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2604896969 |
| Practice Fax Number | 2604903939 |
| Mailing Telephone | 2603737875 |
| Mailing Fax Number | 2603739705 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
01034777B | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01034777B | IN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01034777B | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000690072 | 01 |
| IN | 100080860 | 05 |
| Street Address |
2510 E DUPONT RD STE 200 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838321 | Althea J. Jackson | Obstetrics & Gynecology | 2510 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1600 | 2005-08-16 |
| 1821459413 | Kids.healthcare PC | Pediatrics | 2510 E Dupont Rd, Suite 238, Fort Wayne, IN 46825-1600 | 2016-03-10 |
| 1992166490 | Lisa Tucker | Nurse Practitioner | 2510 E Dupont Rd, Suite 238, Fort Wayne, IN 46825-1600 | 2016-03-10 |
| 1447634449 | Associated Surgeons and Physicians, LLC | Pediatrics | 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601 | 2015-07-20 |
| 1124459276 | Fw Interventional Pain Management LLC | Anesthesiology | 2510 E Dupont Rd, Suite 115, Fort Wayne, IN 46825-1600 | 2013-11-27 |
| 1396080156 | T-med Services, Inc | Psychologist | 2510 E Dupont Rd, Suite 201, Fort Wayne, IN 46825-1601 | 2012-12-05 |
| 1326222480 | Daniel E. Krach, M.d. | Eyewear Supplier (Equipment, not the service) | 2510 E Dupont Rd, Suite 128, Fort Wayne, IN 46825-1600 | 2007-12-26 |
| 1497958946 | Northeast Foot & Ankle Clinic Inc | Podiatrist | 2510 E Dupont Rd, Ste. 234, Fort Wayne, IN 46825-1600 | 2007-06-11 |
| 1013078351 | Osita Victor Ezeakudo | Pediatrics | 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601 | 2006-12-12 |
| 1700809175 | Arnold Brill | Specialist | 2510 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2006-07-25 |
| Find all providers in the same location | ||||
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1528265709 | Sleep Centers of Fort Wayne LLC | Internal Medicine | 7223 Engle Rd Ste 110, Fort Wayne, IN 46804-2239 | 2007-06-29 |
| 1497858666 | Thomandram Sekar, Md, PC | Internal Medicine | 2910 Lake Ave, Fort Wayne, IN 46805-5416 | 2006-09-06 |
| 1235183203 | Rami S Wali | Internal Medicine | 2510 E Dupont Rd Ste 108, Fort Wayne, IN 46825-1601 | 2006-05-22 |
| 1174575047 | John B Fouts | Internal Medicine | 1818 Carew St., Suite 110, Fort Wayne, IN 46805-4764 | 2006-05-17 |
| 1386183614 | Ahmed M Sharaan | Internal Medicine | 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845-0025 | 2017-02-20 |
| 1184010050 | Martin Engman | Internal Medicine | 5917 Hallowell Pl, Fort Wayne, IN 46815-6214 | 2015-04-08 |
| 1316386386 | Georges Debal | Internal Medicine | 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845 | 2013-06-22 |
| 1043567886 | Bharat Bajantri | Internal Medicine | 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845 | 2012-08-10 |
| 1245527803 | Fahim Zaman Khan | Internal Medicine | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-07-05 |
| 1831358597 | Jennifer Shaffer | Internal Medicine | 11104 Parkview Circle Dr, Suite 410, Fort Wayne, IN 46845-1730 | 2008-06-06 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on THEKKUMKATTIL D JAMES.
| 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.