DR. PATRICK J NOONAN (NPI# 1972892958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972892958 |
Entity Type | Individual |
Full Name | DR. PATRICK J NOONAN |
Credential | DO |
Practice Address |
7950 W Jefferson Blvd Ste 210 Fort Wayne IN 46804-4140 |
Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
Practice Telephone | 2604357355 |
Practice Fax Number | 2604357637 |
Mailing Telephone | 2604793514 |
Mailing Fax Number | 2604793520 |
Enumeration Date | 2011-03-30 |
Last Update Date | 2020-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
02005099A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1972892958 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114498714 | Patrick Noonan | Massage Therapist | 600 Louis Dr Ste 205, Warminster, PA 18974-2847 | 2018-12-09 |
1740889450 | Patrick Michael Noonan | Pharmacist | 4211 S 3rd St, Louisville, KY 40214-1619 | 2020-10-23 |
1205352192 | Patrick Thomas Noonan | Counselor | 5342 W Elm St, Mchenry, IL 60050-4029 | 2017-08-22 |
1346561040 | Patrick Michael Noonan | Internal Medicine | 6365 E Tanque Verde Rd, Suite 120, Tucson, AZ 85715-3830 | 2010-06-16 |
1942250204 | Patrick Thomas Noonan Jr. | Radiology | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2006-05-10 |
Street Address |
7950 W JEFFERSON BLVD STE 210 |
City | FORT WAYNE |
State | IN |
Zip Code | 46804-4140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295852739 | Lindsey B. Rauch | Pediatrics | 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-4140 | 2007-03-22 |
1932581030 | Benjamin Bova | Pediatrics | 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-4140 | 2015-06-24 |
1225423726 | Stefanie Ann Paulson | Pediatrics | 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804 | 2015-04-01 |
1174918056 | Bhavik Hasmukhbhai Patel | Pediatrics | 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804 | 2015-03-30 |
1861827339 | Zachary Craig Madson | Pediatrics | 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-4140 | 2013-09-03 |
1194081067 | David Anthony Lankford | Pediatrics | 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-4140 | 2012-04-05 |
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 | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225169196 | Pediatric Pulmonary & Critical Care, PC | Pediatrics | 7910 West Jefferson Blvd., Ste 205, Fort Wayne, IN 46804-4159 | 2007-03-09 |
1023198926 | Pediatric Specialty Physicians, PC | Pediatrics | 7429 Inverness Commons, Fort Wayne, IN 46804-3837 | 2006-10-16 |
1336161868 | Chandrashekhar Yalamanchali | Pediatrics | 11123 Parkview Plaza Dr Ste 202, Fort Wayne, IN 46845-1707 | 2006-07-24 |
1063419166 | Daniel Abraha | Pediatrics | 7950 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804-4140 | 2005-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619219995 | Casey Kathleen Mccluskey | Pediatrics | 705 Riley Hospital Dr Rm 5867, Pediatric Residency Program Indiana University Som, Indianapolis, IN 46202-5109 | 2013-03-25 |
1467408237 | Beacon Medical Group, Inc. | Pediatrics | 615 N Michigan St Fl 5, South Bend, IN 46601 | 2006-05-25 |
1962496661 | Susanna R Burkhead | Pediatrics | 3700 Washington Avenue, Evansville, IN 47750-0001 | 2005-09-08 |
1184012130 | Hari Rasad Gourabathini | Pediatrics | 615 N Michigan St Fl 5, South Bend, IN 46601-1033 | 2014-12-29 |
1396001194 | Michelle M Gombas | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2012-04-05 |
1194954420 | Paul William Halczenko | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2009-07-08 |
1922213057 | Jiuann-huey Ivy Lin | Pediatrics | 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202-5109 | 2007-05-11 |
1922193184 | Reuben Cohen | Pediatrics | 600 Mary St, Evansville, IN 47747-0001 | 2006-10-04 |
1053416784 | David F Westenkirchner | Pediatrics | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2006-09-14 |
1871602995 | Howard Eigen | Pediatrics | 705 Riley Hospital Dr, Ri 2117, Indianapolis, IN 46202-5109 | 2006-08-30 |
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. PATRICK J NOONAN.
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.