RYAN C. ROLF (NPI# 1801992235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801992235 |
| Entity Type | Individual |
| Full Name | RYAN C. ROLF |
| Credential | M.D. |
| Practice Address |
7956 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
| Practice Telephone | 2604356722 |
| Practice Fax Number | 2604356726 |
| Mailing Telephone | 2604793514 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01057615 | IN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 01057615 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2700349 | 05 | |
| IN | ANTHEM | 000000490369 | 01 |
| IN | 200445670 | 05 |
| Street Address |
7956 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308413 | Isa S. Canavati | Neurological Surgery | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-06-30 |
| 1689283327 | Stephen Andrew Grote | Physician Assistant | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-29 |
| 1265041016 | Sara Mae Stout | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-28 |
| 1407481468 | Kathryn M. Mckible | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-03-10 |
| 1841824893 | Natasha L. Myers | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-02-28 |
| 1366901902 | Adrienne Michelle Evans | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-03-13 |
| 1952883084 | Kristin J. Abbs | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2018-09-05 |
| 1134655392 | Nirupama Esther Jerome | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-05-10 |
| 1609324342 | Melanie J. Heath | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2016-09-12 |
| 1164880605 | Jennifer Lynn Ritchie | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427161801 | Krishna Datta | Hospitalist | 2520 E. Dupont Road, Fort Wayne, IN 46825 | 2006-08-17 |
| 1558795799 | Srija Vangala | Hospitalist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2013-08-23 |
| 1922374172 | Innovative Hospital Care, LLC | Hospitalist | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2012-03-31 |
| 1841588647 | Mandasmitha Sowmarpet | Hospitalist | 11109 Parkview Plaza Drive, Parkview Regional Medical Center, Fort Wayne, IN 46825 | 2011-07-13 |
| 1528358579 | Rahul Sharma | Hospitalist | 7950 W Jefferson Blvd, Lutheran Medical Group, Fort Wayne, IN 46804-4140 | 2011-04-11 |
| 1609027333 | Rakesh Kumar Guntur | Hospitalist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2008-09-30 |
| 1871754549 | Venkata Lakshmi Prasad Kureti | Hospitalist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865159 | Nichole Renee Sebesky | Hospitalist | 629 Park Dr, Franklin, IN 46131-7685 | 2020-09-10 |
| 1407239114 | Thomas Ryan Cervone | Hospitalist | Tristar Southern Hills Medical, 391 Wallace Road, Nashville, IN 37211 | 2015-06-30 |
| 1104194547 | Select Specialty Hospital - Evansville, LLC | Hospitalist | 400 Se 4th St, Evansville, IN 47713-1206 | 2011-12-13 |
| 1073826780 | Indiana University Health Starke Hospital LLC | Hospitalist | 102 East Culver Road, Knox, IN 46534-2216 | 2010-07-22 |
| 1295863199 | Jason S. Henderson | Hospitalist | 6404 Cotton Bay Dr N, Indianapolis, IN 46254-4528 | 2007-03-01 |
| 1619087707 | Shelene S. Ruggio | Hospitalist | 503 Steeplechase Dr, Auburn, IN 46706-9127 | 2006-08-30 |
| 1003884404 | Srinivasu Kesa | Hospitalist | 3471 Muirfield Way, Carmel, IN 46032 | 2006-03-10 |
| 1154321099 | Johnson Memorial Hospital | Hospitalist | 1155 W Jefferson St, Ste 202, Franklin, IN 46131-2732 | 2005-07-21 |
| 1598387250 | Dana Oberg | Hospitalist | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2020-05-15 |
| 1972152114 | Amber Banks | Hospitalist | 441 N Wabash Ave, Marion, IN 46952-2612 | 2019-09-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.