Provider Type Icon

OBSTETRICS AND GYNECOLOGY ASSOCIATES OF FORT WAYNE PC NPI 1598806937


NPI Information

NPI: 1598806937
Provider Name: OBSTETRICS AND GYNECOLOGY ASSOCIATES OF FORT WAYNE PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
7802 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 459-2113
Get Directions

OBSTETRICS AND GYNECOLOGY ASSOCIATES OF FORT WAYNE PC is an obstetrics gynecology in Fort Wayne, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBSTETRICS AND GYNECOLOGY ASSOCIATES OF FORT WAYNE PC NPI is 1598806937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7802 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-138
Phone: (260) 459-2113
Fax: (260) 459-6625

The provider's authorized official is Jyothirmai K Reddy .
The authorized official title is President and has the following contact phone number (260) 459-2113.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 5/2/2008.


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
1207V00000XObstetrics & GynecologyYes

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
1F34024MEDICARE UPININDIANA
2100082350AMEDICAIDINDIANA
3000000091644OTHERINDIANAANTHEM PIN
4=========OTHERINDIANATAX ID
5200141300AMEDICAIDINDIANA
6825890MEDICARE PININDIANA
71734OTHERINDIANAPHP

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.