DR. SHANTANU KULKARNI (NPI# 1811996408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811996408 |
| Entity Type | Individual |
| Full Name | DR. SHANTANU KULKARNI |
| Credential | DO |
| Practice Address |
5050 N Clinton St Fort Wayne IN 46825-5886 |
| Mailing Address |
5052 N Clinton St Fort Wayne IN 46825-5822 |
| Practice Telephone | 2604848551 |
| Practice Fax Number | 2604825060 |
| Mailing Telephone | 2604848551 |
| Mailing Fax Number | 2604825060 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 02002688A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200460450 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11136 Parkview Circle Dr, Fort Wayne, IN 468451730 | 2604848551 | 2604825060 |
| 1500 Provident Dr Ste B, Warsaw, IN 465803297 | 5742698301 | 5742698302 |
| 7920 W Jefferson Blvd, Fort Wayne, IN 468044168 | 2604848551 | 2604825060 |
| 7920 W Jefferson Blvd Ste 100, Fort Wayne, IN 468044166 | 2604848551 | 2604825060 |
| Street Address |
5050 N CLINTON ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-5886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228529 | Scott Davis | Anesthesiology | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2005-07-11 |
| 1477179737 | Mirsad Maglajlic | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-23 |
| 1053937961 | Kay Elizabeth Brown | Registered Nurse | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-17 |
| 1831714716 | Raelene Marie Lamott | Licensed Practical Nurse | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-16 |
| 1982184701 | Angela R Kesler | Physical Therapist | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-08-21 |
| 1912485947 | Kaley Alison Weber | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-08-01 |
| 1275019341 | Cayla Marie Vorndran | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-07-12 |
| 1629560370 | Aaron Michael Lewis | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-05-30 |
| 1144724402 | Surgery One Anesthesia, LLC | Anesthesiology | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-03-21 |
| 1235631557 | Samuel Vincent Dismuke | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-03-02 |
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265601041 | Allied Physicians Inc | Physical Medicine & Rehabilitation | 2512 E Dupont Rd Ste 120, Fort Wayne, IN 46825-1609 | 2008-02-26 |
| 1326139833 | Audrey Fawn Sofair | Physical Medicine & Rehabilitation | 11123 Parkview Plaza Dr Ste 201, Fort Wayne, IN 46845-1707 | 2006-09-28 |
| 1831153568 | Summit Spine & Sports Medicine, PC | Physical Medicine & Rehabilitation | 3828 New Vision Dr, Fort Wayne, IN 46845-1708 | 2006-04-12 |
| 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 |
| 1841292612 | Joseph D Fortin | Physical Medicine & Rehabilitation | 9502 Lima Road, Ste 103, Fort Wayne, IN 46818-9270 | 2005-08-11 |
| 1386641587 | Eric M. Schreier | Physical Medicine & Rehabilitation | 3909 New Vision Dr, Suite 1, Fort Wayne, IN 46845-1725 | 2005-07-01 |
| 1790780005 | Bryan Dale Kaplansky | Physical Medicine & Rehabilitation | 3888 New Vision Dr, Fort Wayne, IN 46845-1708 | 2005-06-15 |
| 1457354433 | Thomas L Lazoff | Physical Medicine & Rehabilitation | 7201 Engle Rd, Fort Wayne, IN 46804-2228 | 2005-05-24 |
| 1235749128 | Kayla Sue Ann Brumbaugh | Physical Medicine & Rehabilitation | 7125 Hanna St, Fort Wayne, IN 46816-1166 | 2020-08-05 |
| 1205490877 | Elisha Lynn Handshoe | Physical Medicine & Rehabilitation | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2019-04-29 |
| 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.