Provider Type Icon

PEDIATRICS CENTER OF FORT WAYNE P.C. NPI 1568595999


NPI Information

NPI: 1568595999
Provider Name: PEDIATRICS CENTER OF FORT WAYNE, P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3030 LAKE AVE
#25A
FORT WAYNE, IN
ZIP 46805
Phone: (260) 422-4096
Get Directions

PEDIATRICS CENTER OF FORT WAYNE, P.C. is a pediatrics in Fort Wayne, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRICS CENTER OF FORT WAYNE, P.C. NPI is 1568595999. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3030 LAKE AVE
#25A
FORT WAYNE, IN
ZIP 46805-428
Phone: (260) 422-4096
Fax: (260) 424-2551

The provider's authorized official is Elizabeth Fedoriw .
The authorized official title is Office Administrator and has the following contact phone number (260) 422-4096.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.


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
1208000000XPediatrics10137509INDIANAYes

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.