REBECCA I. CASE (NPI# 1619952280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619952280 |
| Entity Type | Individual |
| Full Name | REBECCA I. CASE |
| Other Name | REBECCA I. SPARKS |
| Credential | M.D. |
| Practice Address |
3909 New Vision Dr Fort Wayne IN 46845 |
| Mailing Address |
3702 New Vision Dr Ste B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2604696610 |
| Practice Fax Number | 2609693065 |
| Mailing Telephone | 2602668210 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01059698A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PHYSICIANS HEALTH PLAN | 15709 | 01 |
| IN | ANTHEM | 000000570552 | 01 |
| IN | ANTHEM | 000000346262 | 01 |
| IN | MEDICARE DMEPOS | 3937240008 | 01 |
| AETNA | 4282045 | 01 | |
| IN | 200499120 | 05 | |
| IN | RAILROAD MEDICARE | P00187398 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922548205 | Rebecca Rae Case | Occupational Therapist | 10516 Park Rd, Charlotte, NC 28210-8405 | 2017-03-06 |
| 1255798153 | Rebecca Case | Registered Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2016-01-22 |
| 1013309046 | Rebecca Case | Dentist | 4700 E Bromley Ln Ste 201, Brighton, CO 80601-7821 | 2015-02-27 |
| 1558608448 | Rebecca Ann Case | Counselor | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2013-01-11 |
| Street Address |
3909 NEW VISION DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641587 | Eric M. Schreier | Physical Medicine & Rehabilitation | 3909 New Vision Dr, Suite 1, Fort Wayne, IN 46845-1725 | 2005-07-01 |
| 1992362131 | Rebecca Chantelois | Registered Nurse | 3909 New Vision Dr, Fort Wayne, IN 46845-1725 | 2019-05-23 |
| 1063077261 | William Borders | Registered Nurse | 3909 New Vision Dr, Fort Wayne, IN 46845-1725 | 2019-05-03 |
| 1699256214 | Delaney L Kaiser | Nurse Practitioner | 3909 New Vision Dr, Fort Wayne, IN 46845-1725 | 2018-08-22 |
| 1558879379 | Laura M. Bolen | Registered Nurse | 3909 New Vision Dr, Fort Wayne, IN 46845-1725 | 2018-01-15 |
| 1629583505 | Jessica A Harner | Registered Nurse | 3909 New Vision Dr, Fort Wayne, IN 46845-1725 | 2017-12-13 |
| 1215442181 | Stefani M Fillers | Registered Nurse | 3909 New Vision Dr, Fort Wayne, IN 46845-1725 | 2017-12-13 |
| 1639684285 | Grant Gerard | Social Worker | 3909 New Vision Dr, Fort Wayne, IN 46845 | 2017-12-05 |
| 1174034425 | Peter J Edgar | Physician Assistant | 3909 New Vision Dr, Fort Wayne, IN 46845-1725 | 2017-10-13 |
| 1295257699 | Joshua Fairbanks | Physician Assistant | 3909 New Vision Dr, Fort Wayne, IN 46845-1725 | 2017-07-07 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 |
| 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.