NORTHEAST INDIANA UROLOGY, P.C. (NPI# 1972638955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972638955 |
| Entity Type | Organization |
| Organization Name | NORTHEAST INDIANA UROLOGY, P.C. |
| Practice Address |
2512 E Dupont Rd Suite 100 Fort Wayne IN 46825-1609 |
| Practice Telephone | 2604366667 |
| Mailing Telephone | 2604366667 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | JOHN BRINKMAN (PRESIDENT) |
| Authorized Official Telephone | 2604366667 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0748972 | 05 | |
| IN | 100081380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821276627 | Northeast Indiana Urology, P.C. | Durable Medical Equipment & Medical Supplies | 2217 Dubois Dr, Warsaw, IN 46580-3212 | 2008-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | NORTHEAST INDIANA UROLOGY, P.C. | 2512 E Dupont D, Ste 100, Fort Wayne, IN 46825 |
| Street Address |
2512 E DUPONT RD SUITE 100 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795852 | Mark Daniel Dabagia | Urology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2005-07-29 |
| 1790021814 | Dawn M. Labarbera | Physician Assistant | 2512 E Dupont Rd, Suite 210, Fort Wayne, IN 46825-1609 | 2012-12-18 |
| 1851640155 | Sarah E Slocum | Registered Nurse | 2512 E Dupont Rd, Ste 100, Fort Wayne, IN 46825-1609 | 2012-08-31 |
| 1871808923 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 | 2010-08-13 |
| 1477864239 | Sarah Anne Brady | Nurse Practitioner | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2010-06-27 |
| 1275770802 | Sara L Speith | Registered Nurse | 2512 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1609 | 2009-01-20 |
| 1841222452 | George L Martin | Urology | 2512 E Dupont Rd, Ste 100, Fort Wayne, IN 46825-1609 | 2006-07-06 |
| 1619920295 | Northeast Indiana Urology, PC | Urology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2006-05-18 |
| 1417908526 | Tracy E Mullins | Nurse Practitioner | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1675 | 2006-05-13 |
| 1356300198 | Terri Ann Cordes | Physician Assistant | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1675 | 2006-03-21 |
| 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 | 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 | 46825 |
Please comment or provide details below to improve the information on NORTHEAST INDIANA UROLOGY, P.C..
| 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.