LINCOLN PEDIC CLINIC INC. NPI 1760486393

NPI Information

  • NPI: 1760486393
  • Provider Name: LINCOLN PEDIC CLINIC, INC.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 12311 AUTUMN BREEZE DR
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 637-8414

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NPI Details

LINCOLN PEDIC CLINIC, INC. is a podiatrist in Fort Wayne, IN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. LINCOLN PEDIC CLINIC, INC. NPI is 1760486393. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12311 AUTUMN BREEZE DR
FORT WAYNE, IN
ZIP 46845-111
Phone: (260) 637-8414
Fax: (260) 637-8152

The provider's authorized official is Janet Alyce Paunwar .
The authorized official title is President and has the following contact phone number (260) 637-8414.

The enumeration date for this NPI number is 6/10/2005 and was last updated on 11/30/2010.

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
1213E00000XPodiatrist07000776AINDIANAYes

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
1C31367OTHERINDIANAPALMETTO GBA
2132140MEDICARE ID-TYPE UNSPECIFIEDINDIANA
3100210380AMEDICAIDINDIANA
4000000235683OTHERINDIANAANTHEM BLUE CROSS

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: 11/21/2025

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