Parkview Health System, Inc.
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Fort Wayne, IN
NPI 1003061797 · NPPES record last updated Mar 22, 2022
Key facts
- NPI
- 1003061797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- Legal business name
- PARKVIEW HEALTH SYSTEM, INC.
- Practice address
- 11108 Parkview Circle Dr Ste 5100
Fort Wayne, IN 46845-1730 - Phone
- (260) 266-2800
- NPI assigned
- Nov 21, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- PARKVIEW HEALTH SYSTEM, INC.
Authorized official
- Name
- Kristina Bigelow
- Title
- Director
- Phone
- (260) 266-1403
Other NPIs on the same Medicare enrollment 10
Practitioners 24
-
Kayla C Burns, PA
-
Zachary M Clemens, PAC
-
Douglas L Gray, MD
-
Shaun Marie Hart, ACNP-BC
-
James C Higginbotham, P. A. - C
-
Stephanie L Kefer, MSN, FNP-BC, CNOR
-
David P Lloyd, MD
-
Kimberly E Recht, NP
-
David T Sowden, MD
-
Barton Wade Williams, M.D.
-
Adam Kenneth Cloud, M.D.
-
Jai H Lee, M.D.
-
Randy K Metcalf, MD
-
Christy A Auld, FNP-C
-
Lisa M Clemens, P.A.
-
Melanie S. Kocevar, DPM
-
Patrick Andrew Macknick, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000288 | IN | Part B Supplier - Clinic/Group Practice | 2163336967 |
Receives reassigned benefits from 1,825 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20100209000823 | OH | Part B Supplier - Clinic/Group Practice | 2163336967 |
Receives reassigned benefits from 7 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Archbold, OH; Paulding, OH; Hicksville, OH; Bryan, OH |
National Provider Directory
- Part of
- Parkview Health Systems
Locations
1316 E 7th St
Ste 3
Auburn, IN 46706
Phone (260) 333-7704
1310 E 7th St
Ste F
Auburn, IN 46706
Phone (260) 925-0403
1260 E State Road 205
Ste 200
Columbia City, IN 46725
1260 E State Road 205
Ste 110
Columbia City, IN 46725
1818 Carew St
Ste 230
Fort Wayne, IN 46805
Phone (260) 373-8000
2231 Carew St
Fort Wayne, IN 46805
Phone (260) 266-7856
11104 Parkview Circle Dr
Ste 20
Fort Wayne, IN 46845
Phone (260) 266-2500
2003 Stults Rd
Ste 120
Huntington, IN 46750
Phone (260) 454-0425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | |||
| Vascular Surgery Physician |
2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
11108 Parkview Circle Dr Ste 5100
Fort Wayne, IN 46845-1730
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone (260) 266-8210
Other names
- Parkview Physicians Group
- Parkview Physicians Group Cardiovascular Surgery
Other providers in Fort Wayne, IN
- Jacqueline Phyllis Parks
- Michelle Parks
- Parkview Health at Home, LLC
- Parkview Health System Inc
- Parkview Health System Inc
- Parkview Health System, Inc.
- Parkview Health System, Inc.
- Parkview Health System, Inc.
- Parkview Health System, Inc.
- Parkview Health System, Inc.
All providers in Fort Wayne, IN · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.