Anthony Medical Associates P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANTHONY MEDICAL ASSOCIATES P C

Practice address

1330 N Coliseum Blvd
Fort Wayne, IN 46805-5526

Phone

(260) 447-8982

Fax

(260) 447-4483

NPI assigned

Dec 16, 2005

Last updated

Oct 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles L Coats, M.D.NPI 1700887262

Title

MD Owner

Phone

(260) 447-8982

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles L Coats, MD

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1700887262
  Medicare reassignment Care Compare group NPD Authorized official
• Hartley Gabbard, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1710864764
  Medicare reassignment Care Compare group NPD
• John T Oo, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1396265864
  Medicare reassignment Care Compare group NPD
• Sherri Anne Stiles Walker, MD

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1922154426
  Medicare reassignment NPD
• Michele Viers, NP

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1639637341
  Medicare reassignment NPD
• Mya Yee Nandar, APRN, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rolling Meadows, IL
  • NPI 1710584834

  IN

  Medicare reassignment NPD
• Ashley D Jackson

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1932752102
  NPD
• Reginald L Humphrey, NP

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1619978178
  NPD (past)
• James E Ranochak, MD

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1972504157
  NPD (past)
• Belinda R Smith-Wilson, N.P.

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1194865386
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1003892555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N COLISEUM BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055526",
            "telephone_number": "260-447-8982",
            "fax_number": "260-447-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N COLISEUM BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055526",
            "telephone_number": "260-447-8982",
            "fax_number": "260-447-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY MEDICAL ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "260-447-8982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200401400A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jehangir Anwar Ansari, MD
• Bailey Danielle Anson, PA-C
• Amanda J Anspach, PHARMD
• Christina Marie Anspach, RPH
• Alexander D Antalis, MD
• Anthony Wayne Rehabilitation Center for Handicapped & Blind, Inc (Awrc)
• Aortamd LLC
• Aperion Care Fort Wayne LLC (Aperion Care Fort Wayne)
• Aperion Care University Park LLC (Aperion Care University Park)
• Apex Dental Fort Wayne LLC

• Family Medicine Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.