DR. J. ROD GIMBEL (NPI# 1932199627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932199627 |
| Entity Type | Individual |
| Full Name | DR. J. ROD GIMBEL |
| Credential | MD |
| Practice Address |
7910 W Jefferson Blvd Ste 120 Fort Wayne IN 46804-4159 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
| Practice Telephone | 2604357612 |
| Practice Fax Number | 2604357672 |
| Mailing Telephone | 2604793514 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
28284 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
01082866A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
65897 | WI | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
28284 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
7910 W JEFFERSON BLVD STE 120 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070425 | Danica A. Marana | Registered Nurse | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2020-07-07 |
| 1306498241 | Kelsey A. Richard | Nurse Practitioner | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2019-07-11 |
| 1003314246 | Stephanie Ann Clouse | Nurse Practitioner | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2018-01-23 |
| 1831631837 | Sara M. Westfall | Physician Assistant | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2016-11-08 |
| 1871977165 | Joyce E. Vivian | Nurse Practitioner | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2015-07-16 |
| 1245664184 | Tyler Lyle Warnecke | Physician Assistant | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2013-08-28 |
| 1144573890 | Laura E. Thomas | Nurse Practitioner | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2012-10-18 |
| 1922285139 | Asim A. Mohammed | Internal Medicine | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2008-01-30 |
| 1437360732 | Rakesh Khatri | Neurological Surgery | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2007-05-25 |
| 1366472755 | Amit N Sanghvi | Radiology | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2006-07-03 |
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093078339 | Jason Michael Rodriguez | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2012-06-21 |
| 1508078189 | Fausto G. Devecchi | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-05-04 |
| 1811956337 | Medical Group of Fort Wayne, P.C. | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-03-22 |
| 1609852292 | Fort Wayne Cardiology Corporation | Internal Medicine | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| 1013111368 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 1451 N Gardner St # 31, Scottsburg, IN 47170-7751 | 2007-06-12 |
| 1689883811 | Medical Center Cardiologists, Psc | Internal Medicine | 1451 N Gardner Hwy 31, Scottsburg, IN 47170 | 2007-05-22 |
| 1518176486 | Medical Center Cardiologists, Psc | Internal Medicine | 213 Hunter Station Rd, Sellersburg, IN 47172-1879 | 2007-05-21 |
| 1841372869 | Fei Lu | Internal Medicine | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545 | 2006-10-19 |
| 1497704514 | Cardiospecialists Group, Ltd | Internal Medicine | 2150 Gettler St, Suite 122, Dyer, IN 46311-2380 | 2006-05-08 |
| 1194700500 | Leonard Alan Steinberg | Internal Medicine | 8333 Naab Rd Ste 320, Indianapolis, IN 46260-1983 | 2005-12-08 |
| 1417939885 | Raghuram Dasari | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on DR. J. ROD GIMBEL.
| 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.