Cardiosom of Ft. Wayne, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

CARDIOSOM OF FT. WAYNE, INC

Practice address

1625 Magnavox Way
Ft Wayne, IN 46804-1535

Phone

(888) 857-5337

Fax

(260) 459-9247

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Paul Greisl

Title

President

Phone

(317) 706-1080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003813692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CARMEL DR",
            "address_2": "STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325504",
            "telephone_number": "317-706-1080",
            "fax_number": "317-706-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MAGNAVOX WAY",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468041535",
            "telephone_number": "888-857-5337",
            "fax_number": "260-459-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM OF FT. WAYNE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREISL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-706-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devyn Carder
• Josslyn Mariah Carder, MSW
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• Bambi Michelle Cardinal, FNP
• Cardiosom LLC Dba MD Sleep of Ft. Wayne
• Cardiosom, LLC
• Cardiovascular Associates of Northeastern Indiana LLC
• Carefirst of Fort Wayne Inc.
• Carehalo Ohio LLC
• Cares to Help Home Care

• Oxygen Equipment & Supplies (DME) in Ft Wayne, IN
• Providers in Ft Wayne, IN by specialty
• Oxygen Equipment & Supplies (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.