FORT WAYNE CARDIOLOGY CORPORATION NPI 1669458733

NPI Information

NPI: 1669458733
Provider Name: FORT WAYNE CARDIOLOGY CORPORATION
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
11558 SR 111
PAULDING, OH
ZIP 45879
Phone: (260) 481-4700
Get Directions

FORT WAYNE CARDIOLOGY CORPORATION is a cardiovascular disease internal medicine in Paulding, OH. 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. FORT WAYNE CARDIOLOGY CORPORATION NPI is 1669458733. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11558 SR 111
PAULDING, OH
ZIP 45879
Phone: (260) 481-4700
Fax: (260) 481-4808

The provider's authorized official is Raymond Dusman .
The authorized official title is Ceo and has the following contact phone number (260) 481-4700.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 10/7/2008.

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	207RI0011X	Internal Medicine	Interventional Cardiology	No
3	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	200425420M	MEDICAID	INDIANA
2	CK8615	MEDICARE PIN	OHIO
3	CK8615	OTHER	OHIO	RR MEDICARE
4	FO9331212	MEDICARE PIN	OHIO

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

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