FORT WAYNE ORTHOPEDICS LLC NPI 1720393861

NPI Information

NPI: 1720393861
Provider Name: FORT WAYNE ORTHOPEDICS, LLC

Doing Business As: FORT WAYNE ORTHOPEDICS, LLC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
303 S MAIN STREET
STE 404A
BLUFFTON, IN
ZIP 46714
Phone: (260) 436-8686
Get Directions

FORT WAYNE ORTHOPEDICS, LLC is a durable medical equipment medical supplies in Bluffton, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FORT WAYNE ORTHOPEDICS, LLC NPI is 1720393861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fort Wayne Orthopedics, Llc.

The provider's business location address is:

303 S MAIN STREET
STE 404A
BLUFFTON, IN
ZIP 46714-503
Phone: (260) 436-8686
Fax: (260) 436-8585

The provider's authorized official is Jerald Cooper .
The authorized official title is President and has the following contact phone number (260) 436-8686.

The enumeration date for this NPI number is 8/13/2010 and was last updated on 10/19/2021.

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
1	213ES0131X	Podiatrist	Foot Surgery	50002482	INDIANA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies				No
3	363A00000X	Physician Assistant		50002482	INDIANA	No
4	207X00000X	Orthopaedic Surgery		50002482	INDIANA	No
5	207X00000X	Orthopaedic Surgery				No
6	207XS0106X	Orthopaedic Surgery	Hand Surgery	50002482	INDIANA	No
7	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	50002482	INDIANA	No
8	207XX0005X	Orthopaedic Surgery	Sports Medicine	50002482	INDIANA	No
9	207XX0801X	Orthopaedic Surgery	Orthopaedic Trauma	50002482	INDIANA	No
10	213E00000X	Podiatrist		50002482	INDIANA	No
11	332B00000X	Durable Medical Equipment & Medical Supplies		50002482A	INDIANA	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	100210470A	MEDICAID	INDIANA
2	201255250D	MEDICAID	INDIANA
3	100210470	MEDICAID	INDIANA
4	0162610005	OTHER	INDIANA	DME PTAN

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: 5/5/2024

NPI Synchronization or Removal

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