BRYAN M STATZ (NPI# 1780179549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780179549 |
| Entity Type | Individual |
| Full Name | BRYAN M STATZ |
| Credential | PHARMD |
| Practice Address |
11109 Parkview Plaza Dr Fort Wayne IN 46845-1701 |
| Practice Telephone | 2602664400 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26024699A | IN | Pharmacy Service Providers |
| Street Address |
11109 PARKVIEW PLAZA DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994163 | Ramabrahmam Gullapalli | Anesthesiology | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-07-01 |
| 1548868375 | Lindsey Stangland | Social Worker | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-10-14 |
| 1417563594 | Angela Morales | Registered Nurse | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-09-23 |
| 1649883687 | Rachel Capito | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-28 |
| 1407467004 | Ashley Logan | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-17 |
| 1417568247 | Curtis Dale Stump Jr. | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-14 |
| 1013528496 | Christina Kay Ford | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-11 |
| 1174141709 | Zsanett Kormanyos | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-09 |
| 1265050025 | Allison Catherine Clemens | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-08 |
| 1821610056 | Elle Stronczek | Dietitian, Registered | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-05-11 |
| 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 | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962751446 | Robert L Plant | Pharmacist | 3602 New Vision Drive, Fort Wayne, IN 46845 | 2012-08-30 |
| 1649883687 | Rachel Capito | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-28 |
| 1306465570 | Mariah Vasquez | Pharmacist | 110 E Creighton Ave, Fort Wayne, IN 46803-3344 | 2020-04-08 |
| 1851934277 | Stephanie Marie Carcione | Pharmacist | 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1633 | 2019-10-18 |
| 1407404056 | Aubrey Ann Mills | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2019-08-27 |
| 1366937047 | Kristin Howard | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-06-26 |
| 1770073900 | James Joseph Roy | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-05-14 |
| 1720578289 | Ross Witte | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-05-10 |
| 1629579636 | Tracy Leigh Brooks | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-02-25 |
| 1851813018 | Andrea Danielle Whitaker | Pharmacist | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2017-07-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on BRYAN M STATZ.
| 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.