ERIC TODD MD NPI 1598853830

NPI Information

NPI: 1598853830
Provider Name: ERIC TODD, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
2121 LAKE AVE
FORT WAYNE, IN
ZIP 46805
Phone: (260) 426-5431
Get Directions

Eric Todd, MD is an urology in Fort Wayne, IN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Eric Todd, MD NPI is 1598853830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2121 LAKE AVE
FORT WAYNE, IN
ZIP 46805-100
Phone: (260) 426-5431
Fax: (260) 460-1385

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/31/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		35.122870	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FT069788	OTHER	MICHIGAN	LICENSE
2	0098948	MEDICAID	OHIO
3	4108684	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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