NPIMap

Organization Active NPI

Fort Wayne Care Inc

  • Neurological Surgery Physician
  • Fort Wayne, IN
National Provider Identifier
1003062332
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01058048A Issued in IN
Legal business name
FORT WAYNE CARE INC
Practice address
347 W Berry St
Suite 216
Fort Wayne, IN 46802-2299
Phone
(260) 602-0451
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mike Woolian Chou, MD
Title
Ceo
Phone
(260) 602-0451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 01058048A IN Primary

Addresses

Primary practice location

347 W Berry St
Suite 216
Fort Wayne, IN 46802-2299

Mailing address

347 W Berry St
Suite 216
Fort Wayne, IN 46802-2299
Phone (260) 602-0451

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1003062332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 W BERRY ST",
            "address_2": "SUITE 216",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022299",
            "telephone_number": "260-602-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 W BERRY ST",
            "address_2": "SUITE 216",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022299",
            "telephone_number": "260-602-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WAYNE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "WOOLIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-602-0451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01058048A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.