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INDIANA MEDICAL ASSOCIATES LLC NPI 1780628545


NPI Information

NPI: 1780628545
Provider Name: INDIANA MEDICAL ASSOCIATES, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
7900 W JEFFERSON BLVD
SUITE 201
FORT WAYNE, IN
ZIP 46804
Phone: (260) 969-7100
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INDIANA MEDICAL ASSOCIATES, LLC is an internal medicine in Fort Wayne, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. INDIANA MEDICAL ASSOCIATES, LLC NPI is 1780628545. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7900 W JEFFERSON BLVD
SUITE 201
FORT WAYNE, IN
ZIP 46804-128
Phone: (260) 969-7100
Fax: (260) 969-7101

The provider's authorized official is Lowell Teska .
The authorized official title is Ceo and has the following contact phone number (260) 969-7100.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 1/5/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

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
1200250290MEDICAIDINDIANA
2200190390MEDICAIDINDIANA
3925060MEDICARE PININDIANA
42042720MEDICAIDOHIO
5IN9293055MEDICARE PINOHIO

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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