MEDICAL GROUP OF FORT WAYNE P.C. NPI 1811956337

NPI Information

NPI: 1811956337
Provider Name: MEDICAL GROUP OF FORT WAYNE, P.C.

Doing Business As: THE HEART CENTER OF FORT WAYNE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
7916 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 432-2297
Get Directions

MEDICAL GROUP OF FORT WAYNE, P.C. is a cardiovascular disease internal medicine in Fort Wayne, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MEDICAL GROUP OF FORT WAYNE, P.C. NPI is 1811956337. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Heart Center Of Fort Wayne.

The provider's business location address is:

7916 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-140
Phone: (260) 432-2297
Fax: (260) 434-6420

The provider's authorized official is Joel R. Sauer .
The authorized official title is Ceo and has the following contact phone number (260) 432-2297.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 3/12/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	No
3	207RI0200X	Internal Medicine	Infectious Disease	No
4	207RS0012X	Internal Medicine	Sleep Medicine	No
5	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
6	208M00000X	Hospitalist		No
7	363L00000X	Nurse Practitioner		No
8	207K00000X	Allergy & Immunology		No
9	207R00000X	Internal Medicine		No
10	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
11	207RG0100X	Internal Medicine	Gastroenterology	No
12	207RI0011X	Internal Medicine	Interventional Cardiology	No
13	207RP1001X	Internal Medicine	Pulmonary Disease	No
14	207RR0500X	Internal Medicine	Rheumatology	No
15	207RC0000X	Internal Medicine	Cardiovascular Disease	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	058490	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

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

NPI Synchronization or Removal

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