BALTES CARDIOLOGY NPI 1174625065

NPI Information

NPI: 1174625065
Provider Name: BALTES CARDIOLOGY
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
821 BROADWAY
FORT WAYNE, IN
ZIP 46802
Phone: (260) 439-0044
Get Directions

BALTES CARDIOLOGY 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. BALTES CARDIOLOGY NPI is 1174625065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

821 BROADWAY
FORT WAYNE, IN
ZIP 46802-107
Phone: (260) 439-0044
Fax: (260) 422-7860

The provider's authorized official is Wm Edward Baltes .
The authorized official title is Managing Partner and has the following contact phone number (260) 439-0044.

The enumeration date for this NPI number is 9/2/2006 and was last updated on 6/30/2009.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	01026188A	INDIANA	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	66 7570B	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	TPR MC FW
2	303562034003	OTHER	INDIANA	BCBS
3	295429889004	OTHER	INDIANA	BCBS TPR
4	100460500	MEDICAID	INDIANA
5	E21659	MEDICARE UPIN	INDIANA
6	667580A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	WEB ANGOLA
7	667570C	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	MWEMHOFF
8	000000090932	OTHER	INDIANA	WEB ANTHEM
9	B28247	MEDICARE UPIN	INDIANA
10	100059740A	MEDICAID	INDIANA
11	100330950	MEDICAID	INDIANA
12	000000090931	OTHER	INDIANA	ANTHEM TPR
13	66 7580B	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	TPR MC ANGOLA
14	667570A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	WEB FORT WAYNE

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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