Thomas P Dykstra (NPI# 1366437410, PAC ID# 1052213436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1366437410 |
| PAC ID by PECOS | 1052213436 |
| Professional Enrollment ID | I20050409000115 |
| Full Name | Thomas P Dykstra |
| Organization Legal Name | PROFESSIONAL EMERGENCY PHYSICIANS INC |
| Address |
2200 Randallia Dr Fort Wayne IN 46805-4638 |
| Phone Number | 2603734000 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2769384213 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150045 | DEKALB HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2603734000 | PROFESSIONAL EMERGENCY PHYSICIANS INC |
| Organization Legal Name | PROFESSIONAL EMERGENCY PHYSICIANS INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan D Steinhofer | Emergency Medicine | Professional Emergency Physicians Inc | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 |
| Christina Preusz | Emergency Medicine | Professional Emergency Physicians Inc | 401 N Sawyer Rd, Kendallville, IN 46755-2568 |
| Michael E Myers | Emergency Medicine | Professional Emergency Physicians Inc | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| John R Ringquist | Emergency Medicine | Professional Emergency Physicians Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Scott P Wolfe | Emergency Medicine | Professional Emergency Physicians Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Keith R Schreffler Jr. | Emergency Medicine | Professional Emergency Physicians Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Alex D Antalis | Emergency Medicine | Professional Emergency Physicians Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Sheila Kay Pittenger | Emergency Medicine | Professional Emergency Physicians Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Heather M Clark | Emergency Medicine | Professional Emergency Physicians Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Ryan M Weiss | Physician Assistant | Professional Emergency Physicians Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Street Address |
2200 RANDALLIA DR |
| City | FORT WAYNE |
| State | IN |
| Zip | 46805-4638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danyelle R Aber | Emergency Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Betsy G Krause | Family Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Benjamin J Moreno | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Vatche Israbian | Pulmonary Disease | Parkview Health System Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4699 |
| Mckenna Renee Brauner | Physician Assistant | Parkview Health System Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Jaime R Hajjari | Emergency Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Kevin L Murphy | Psychiatry | Parkview Health System Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Nicholas J Gould | Emergency Medicine | Professional Emergency Physicians PC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Samantha Raffieed | Physician Assistant | Parkview Health System Inc | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| William Cohee Petty | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia R Swank | Optometry | Midwest Eye Consultants PC | 431 W Coliseum, Fort Wayne, IN 46805-1010 |
| Joseph M Mattox | Family Medicine | Parkview Ortho Performance Center LLC | 3946 Ice Way, Parkview Ortho Performance Center, Fort Wayne, IN 46805-1018 |
| Jodi L Chambers | Physician Assistant | Parkview Ortho Performance Center LLC | 3946 Ice Way, Parkview Ortho Performance Center, Fort Wayne, IN 46805-1018 |
| Zubair A Khan | Optometry | Fort Wayne Vision Associates Ltd | 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 |
| Prevesh K Rustagi | Psychiatry | 3400 E Coliseum Blvd, Suite 340, Fort Wayne, IN 46805-1656 | |
| Syed M Sohail | Internal Medicine | Fort Wayne Medical Clinic PC | 3411 N Anthony Blvd, Suite 2, Fort Wayne, IN 46805-2233 |
| Aaron Christopher Frey | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| Myra R Weber | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| David S Millay | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| Emma Shoemaker | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| Find all physicians in zip 46805 | |||
| City | FORT WAYNE |
| Zip Code | 46805 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FORT WAYNE + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.