LUTHERAN MEDICAL GROUP LLC (NPI# 1710275664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710275664 |
| Entity Type | Organization |
| Organization Name | LUTHERAN MEDICAL GROUP LLC |
| Practice Address |
3534 Brooklyn Ave Fort Wayne IN 46809-1361 |
| Mailing Address |
Po Box 4852 Belfast ME 04915-4852 |
| Practice Telephone | 2604322297 |
| 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 |
| 1659669513 | Lutheran Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2011-07-13 |
| 1144518002 | Lutheran Medical Group LLC | Durable Medical Equipment & Medical Supplies | 504 W South St, Monroeville, IN 46773-9592 | 2011-07-13 |
| 1164662805 | Lutheran Medical Group LLC | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2009-02-20 |
| Street Address |
3534 BROOKLYN AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46809-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362200 | Herbert K.j. Acker | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2005-11-02 |
| 1659917771 | Lyndi Davis | Nurse Practitioner | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2019-11-24 |
| 1033752001 | Marion Melcher | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2019-10-23 |
| 1689104242 | Andrew Wieging | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2017-06-15 |
| 1871049981 | Mark Sexton | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2016-08-29 |
| 1992090971 | Christopher A. Baltes | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2011-06-17 |
| 1982993309 | Shawn P. Lazoff | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2011-04-06 |
| 1578876785 | David S. Mohan | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2010-07-16 |
| 1902068828 | Tara Marie Meyer | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2008-07-01 |
| 1356532667 | Crystal M Bourcier | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038574 | Zachary L Roberts | Pharmacist | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2011-09-24 |
| 1679660278 | Kool Smiles In Ft. Wayne, PC | Dentist | 1852 Bluffton Road, Ft. Wayne, IN 46809 | 2006-10-06 |
| 1477512564 | Brian Thomas Raypole | Specialist/Technologist | 5050 N. Clinton Street, Fort Wayne, IN 46809 | 2006-03-20 |
| 1669016895 | Trinity Health Pharmacy Services, LLC | Pharmacy | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2019-10-31 |
| 1841573318 | Vicki Eileen Caccamo | Pharmacist | 6730 Bluffton Rd, Fort Wayne, IN 46809 | 2011-09-21 |
| 1265588404 | May R. Dahman | Specialist | 1733 Kinsmoor Ave, Fort Wayne, IN 46809-1025 | 2007-01-27 |
| 1134746209 | Laurel Schroeder | Occupational Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-07-06 |
| 1730793605 | Cody Craig | Physical Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-09-08 |
| 1952497166 | Ajay Joshi | Dentist | 1852 Bluffton Rd, Fort Wayne, IN 46809-1306 | 2006-10-05 |
| 1255855011 | Sahar Hameed | Dentist | 1852 Bluffton Rd, Fort Wayne, IN 46809-1306 | 2017-08-02 |
| Find all providers in zip 46809 | ||||
| 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 | 46809 |
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.