SUMMIT ANESTHESIA, LLC


Address: 700 Broadway, Fort Wayne, IN 46802-1402
Phone: 2609691950

SUMMIT ANESTHESIA, LLC (NPI# 1649368085) 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) 1649368085
Entity Type Organization
Organization Name SUMMIT ANESTHESIA, LLC
Practice Address 700 Broadway
Fort Wayne
IN 46802-1402
Mailing Address Po Box 11535
Fort Wayne
IN 46859-1535
Practice Telephone 2609691950
Practice Fax Number 2609690989
Mailing Telephone 3175672180
Mailing Fax Number 3175672191
Enumeration Date 2006-10-11
Last Update Date 2010-01-08
Authorized Official Name MUHAMMOD A AHMAD (GROUP MANAGER)
Authorized Official Telephone 3175672180
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200843170A 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names SUMMIT ANESTHESIA, LLC 60507 Seventh Mountain Dr, Bend, OR 97702

Office Location

Street Address 700 BROADWAY
City FORT WAYNE
State IN
Zip Code 46802-1402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104825140 Select Specialty Hospital - Fort Wayne Inc Long Term Care Hospital 700 Broadway, 7th Fl East, Fort Wayne, IN 46802-1402 2005-07-20
1598395238 Werner R Wolff Nurse Practitioner 700 Broadway, Fort Wayne, IN 46802-1402 2020-01-22
1477114312 Mandy Onguta Nurse Practitioner 700 Broadway, Fort Wayne, IN 46802-1402 2019-06-21
1609386416 Kelly Marie Snyder Occupational Therapy Assistant 700 Broadway, Fort Wayne, IN 46802-1402 2017-10-06
1851759922 Faysal Massarweh Internal Medicine 700 Broadway, Fort Wayne, IN 46802-1402 2016-02-04
1689041451 Christine Montanaro Registered Nurse 700 Broadway, Fort Wayne, IN 46802-1402 2015-08-28
1265825178 Mary Bullis Nurse Practitioner 700 Broadway, Fort Wayne, IN 46802-1402 2015-03-17
1366883068 Niroshan Kirupananthan Internal Medicine 700 Broadway, Fort Wayne, IN 46802-1402 2013-07-10
1548552375 Musa Abdalla Family Medicine 700 Broadway, Fort Wayne, IN 46802-1402 2011-05-12
1366754616 Darnell J Brown Surgery 700 Broadway, Fort Wayne, IN 46802-1402 2010-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568084416 Renaissance Counseling Center,llc Community/Behavioral Health 1210 Guthrie St, Fort Wayne, IN 46802 2020-05-14
1699260182 Tina Huffman Counseling Services LLC Clinic/Center 2323 111 W. Berry St., Fort Wayne, IN 46802 2018-06-27
1669879664 Neighborhood Health Clinics, Inc Clinic/Center 1721 S Calhoun St, Fort Wayne, IN 46802 2014-11-20
1205272168 Tyler Jerome Kimmel Dentist 1717 S. Calhoun Street, Fort Wayne, IN 46802 2013-05-20
1174899405 Hearcare Connection, Inc. Audiologist 130 W Main St Ste 150, Fort Wayne, IN 46802 2012-03-30
1801114533 Hoosier Sports & Chiropractic LLC Chiropractor 122 W Wayne Street, Fort Wayne, IN 46802 2010-05-05
1891912523 Krista Lohmar Speech-Language Pathologist 3340 North Washington Road, Ft. Wayne, IL 46802 2007-04-20
1811047608 Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. Counselor 915 South Clinton, Fort Wayne, IN 46802 2007-01-12
1548323801 Clifford T Salk Dentist 122 W Washington Blvd, Fort Wayne, IN 46802 2006-12-18
1720155492 Kristina Wise Social Worker 203 W Wayne St Ste 317, Fort Wayne, IN 46802 2006-11-29
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265858765 James Edward Luckey Anesthesiology 4701 Covington Rd, Suite 18, Fort Wayne, IN 46804-5072 2014-03-09
1811324411 Willliam Richard Hall Anesthesiology 8721 Fortuna Way, Fort Wayne, IN 46815-5724 2013-09-27
1760542468 Three Rivers Anesthesia, LLC Anesthesiology 7956 W. Jefferson Blvd., Fort Wayne, IN 46804 2006-12-11
1588746838 Andrea Waingold Anesthesiology 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 2006-10-19
1487755534 Kathryn Carboneau Anesthesiology 11115 Pine Bank Ct, Fort Wayne, IN 46845-1839 2006-09-25
1497788848 Il-sung Kwak Anesthesiology 2222 Timberbrook Trl, Fort Wayne, IN 46845-9530 2006-07-09
1760427686 Andrzej S. Waskiel Anesthesiology 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 2006-06-17
1992745806 Muhammod Ahmad Anesthesiology 1942 E Dupont Rd Ste A, Fort Wayne, IN 46825-1582 2006-06-08
1346212487 Glenn Batiller Anesthesiology 11518 Tillbury Cv, Fort Wayne, IN 46845-2138 2006-02-03
1457336539 Jun Wang Anesthesiology 10351 Dawsons Creek Blvd, Ste D, Fort Wayne, IN 46825-1904 2005-12-12
Find all providers in FORT WAYNE

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City FORT WAYNE
Zip Code 46802

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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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