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GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA LLC NPI 1295141380


NPI Information

NPI: 1295141380
Provider Name: GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
1818 CAREW ST
SUITE 250
FORT WAYNE, IN
ZIP 46805
Phone: (260) 437-4789
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GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC is a gynecologic oncology obstetrics gynecology in Fort Wayne, IN. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC NPI is 1295141380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1818 CAREW ST
SUITE 250
FORT WAYNE, IN
ZIP 46805-788
Phone: (260) 437-4789

The provider's authorized official is Iwona Podzielinski .
The authorized official title is President/owner and has the following contact phone number (260) 437-4789.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 6/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic OncologyINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201236690MEDICAIDINDIANA
2IN2037MEDICARE PININDIANA
30107737MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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