LUTHERAN MEDICAL GROUP LLC (NPI# 1659669513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659669513 |
| Entity Type | Organization |
| Organization Name | LUTHERAN MEDICAL GROUP LLC |
| Practice Address |
2516 E Dupont Rd Fort Wayne IN 46825-1608 |
| Mailing Address |
Po Box 4852 Belfast ME 04915-4852 |
| Practice Telephone | 2604346076 |
| Mailing Telephone | 8778481463 |
| Mailing Fax Number | 6159254991 |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477841013 | Lutheran Medical Group LLC | Durable Medical Equipment & Medical Supplies | 7980 W Jefferson Blvd, Fort Wayne, IN 46804-4170 | 2011-07-18 |
| 1144518002 | Lutheran Medical Group LLC | Durable Medical Equipment & Medical Supplies | 504 W South St, Monroeville, IN 46773-9592 | 2011-07-13 |
| 1710275664 | Lutheran Medical Group LLC | Durable Medical Equipment & Medical Supplies | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2011-07-13 |
| 1164662805 | Lutheran Medical Group LLC | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2009-02-20 |
| Street Address |
2516 E DUPONT RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538150404 | Allied Physicians Inc., D/b/a Tri-state Physical Medicine | Physical Medicine & Rehabilitation | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2005-10-31 |
| 1871154401 | Kimberly Million | Nurse Practitioner | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2019-06-25 |
| 1851813018 | Andrea Danielle Whitaker | Pharmacist | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2017-07-10 |
| 1013465152 | Nicole M Sanderson | Nurse Practitioner | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2016-09-19 |
| 1679934707 | Julea B. Diffenderfer | Dietitian, Registered | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2016-03-17 |
| 1073943387 | Kara Reyes | Physical Therapist | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2013-11-22 |
| 1871738930 | Tiffany J. Bauman | Speech-Language Pathologist | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2008-12-03 |
| 1598808156 | Kristina R Leavell | Physician Assistant | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2007-02-14 |
| 1629089453 | Jessica L. Ottenweller-butcher | Family Medicine | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2006-08-10 |
| 1013927904 | Brian A. Adams | Family Medicine | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2006-08-09 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261897 | J & Y Medical LLC | Durable Medical Equipment & Medical Supplies | 227 E Dupont Rd, Fort Wayne, IN 46825-2047 | 2020-09-29 |
| 1023658283 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 436 E Washington Blvd Ste P, Fort Wayne, IN 46802-3210 | 2020-01-15 |
| 1972036481 | Darah Medical Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 4206 Flagstaff Cv, Fort Wayne, IN 46815-4417 | 2017-04-11 |
| 1558749408 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2100 Goshen Rd Ste 111, Fort Wayne, IN 46808-1493 | 2015-05-12 |
| 1679979363 | Apsco | Durable Medical Equipment & Medical Supplies | 3710 Piper Dr, Fort Wayne, IN 46809-3121 | 2014-11-07 |
| 1720404577 | James Medical Rents & Sales, Inc. | Durable Medical Equipment & Medical Supplies | 7107 W Jefferson Blvd, Fort Wayne, IN 46804-6235 | 2014-03-17 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043658701 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 4225 Hobson Rd, Fort Wayne, IN 46815-4506 | 2013-06-04 |
| 1811232614 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1515 Profit Dr, Fort Wayne, IN 46808-1172 | 2012-12-05 |
| 1174893978 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 10301 E State Road 37, Fort Wayne, IN 46835-9591 | 2012-01-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on LUTHERAN MEDICAL GROUP LLC.
| 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.