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DUPONT OB-GYN NPI 1669487005


NPI Information

NPI: 1669487005
Provider Name: DUPONT OB-GYN
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
11123 PARKVIEW PLAZA DR
SUITE 204
FT WAYNE, IN
ZIP 46845
Phone: (260) 490-6260
Get Directions

DUPONT OB-GYN is an obstetrics gynecology in Ft Wayne, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DUPONT OB-GYN NPI is 1669487005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11123 PARKVIEW PLAZA DR
SUITE 204
FT WAYNE, IN
ZIP 46845
Phone: (260) 490-6260
Fax: (260) 490-6261

The provider's authorized official is Rosemary Leitch .
The authorized official title is Owner and has the following contact phone number (260) 490-6260.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 12/11/2007.


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
1207V00000XObstetrics & Gynecology01035629INDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000093382OTHERINDIANAANTHEM BCBS
2220520MEDICARE PININDIANA
3D69582MEDICARE UPIN
4220520MEDICARE ID-TYPE UNSPECIFIEDINDIANA

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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