SYED MURTAZA HASAN (NPI# 1689089674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689089674 |
| Entity Type | Individual |
| Full Name | SYED MURTAZA HASAN |
| Credential | MD |
| Practice Address |
10215 Auburn Park Dr Fort Wayne IN 46825-2387 |
| Mailing Address |
1200 W White River Blvd Rcs Provider Enrollment Muncie IN 47303-4988 |
| Practice Telephone | 2602345400 |
| Practice Fax Number | 2602345110 |
| Mailing Telephone | 8776685621 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01077419A | IN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 01077419A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1972605418 | Syed Sajid Hasan | Psychiatry & Neurology | 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 | 2006-09-04 |
| 1265534465 | Syed Naved Hasan | Family Medicine | 908 Southmore Ave Ste 100, Pasadena Health Center, Pasadena, TX 77502-1120 | 2006-09-01 |
| 1790895035 | Syed S Hasan | Internal Medicine | 2120 Mariner Blvd, Spring Hill, FL 34609-3859 | 2006-08-30 |
| 1730115791 | Syed Hasan | Internal Medicine | 87 N Airlite, Suite100, Elgin, IL 60123 | 2006-06-23 |
| 1528010998 | Syed Amjad Hasan | Specialist | 44835 Date Ave, Lancaster, CA 93534-3102 | 2006-05-16 |
| 1700402898 | Syed N Hasan | Student in an Organized Health Care Education/Training Program | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2020-06-24 |
| 1235768748 | Syed Aarish Hasan | Student in an Organized Health Care Education/Training Program | 1431 Sw 1st Ave Ste 7, Ocala, FL 34471-6500 | 2020-04-06 |
| 1134772106 | Syed Abbas Hasan | Student in an Organized Health Care Education/Training Program | 1155 Mill St # 11, Reno, NV 89502-1576 | 2019-07-18 |
| 1255807574 | Syed Radwan Hasan | Optometrist | 11915 Atlantic Ave, Richmond Hill, NY 11418-3216 | 2018-10-15 |
| Street Address |
10215 AUBURN PARK DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-2387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184625527 | Darlene K Hoover | Physician Assistant | 10215 Auburn Park Dr, Suite B, Fort Wayne, IN 46825-2387 | 2005-08-09 |
| 1558815605 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2016-08-06 |
| 1073878765 | Mary Jo Gura | Registered Nurse | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2012-07-09 |
| 1275624686 | Plastic Surgery Innovations, P.C. | Plastic Surgery | 10215 Auburn Park Dr, Suite B, Fort Wayne, IN 46825-2387 | 2006-09-28 |
| 1376502971 | Christine M Herman | Physician Assistant | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2006-03-22 |
| 1568444701 | Joan Luther | Counselor | 10215 Auburn Park Dr, Suite 2, Fort Wayne, IN 46825-2387 | 2005-11-15 |
| 1720060007 | Lisa Ramos | Dietitian, Registered | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2005-11-14 |
| 1912989229 | Family Counseling Services, P.C. | Counselor | 10215 Auburn Park Dr, Suite 2, Fort Wayne, IN 46825-2387 | 2005-11-14 |
| 1366424616 | Kathryn Barrye Einhaus, M.d., P.C. | Obstetrics & Gynecology | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2005-11-14 |
| 1871575126 | Kathryn B. Einhaus | Obstetrics & Gynecology | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2005-11-14 |
| 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 | 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 | 46825 |
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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.