Active NPI
Fort Wayne Pediatrics, PC
- Pediatrics Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- FORT WAYNE PEDIATRICS, PC
- Practice address
- 2810 Dupont Commerce CT
Fort Wayne, IN 46825-2393 - Phone
- (260) 490-7337
- Fax
- (260) 489-8937
- NPI assigned
- Oct 20, 2006
- Last updated
- Mar 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy L Fuchs, MD
- Title
- President
- Phone
- (260) 490-7337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
2810 Dupont Commerce CT
Fort Wayne, IN 46825-2393
Mailing address
2810 Dupont Commerce CT
Fort Wayne, IN 46825-2393
Phone (260) 490-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100080960 | Medicaid | IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0678173 | Fort Wayne Pediatrics Lab | Certificate of waiver | Jan 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
2514 E DuPont Rd
Fort Wayne, IN 46825
Practitioners & affiliated clinicians
Practitioners 16
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.
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- Fort Wayne, IN
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- Nurse Practitioner
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- NPI 1669061289
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- Pediatrics Physician
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- NPI 1891176863
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- Fort Wayne, IN
- NPI 1497375356
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- Fort Wayne, IN
- NPI 1467700542
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- Pediatrics Physician
- Fort Wayne, IN
- NPI 1013077825
-
- Pediatrics Physician
- Fort Wayne, IN
- NPI 1487697090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1063595536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 DUPONT COMMERCE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252393",
"telephone_number": "260-490-7337",
"fax_number": "260-489-8937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 DUPONT COMMERCE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252393",
"telephone_number": "260-490-7337",
"fax_number": "260-489-8937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WAYNE PEDIATRICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "FUCHS",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "260-490-7337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100080960",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- Fort Wayne Orthopaedics, LLC (Fort Wayne Orthopedics, LLC)
- Fort Wayne Orthopaedics, LLC
- Fort Wayne Orthopaedics, LLC Surgicenter
- Fort Wayne Orthopedics, LLC
- Fort Wayne Pediatric Dentistry LLC
- Fort Wayne Physical Medicine P C (Fort Wayne Physical Medicine)
- Fort Wayne Primary Care LLC
- Fort Wayne Prosthodontics, Inc.
- Fort Wayne Psychiatry. P. C.
- Fort Wayne Radiology Associates LLC (Dexa Diagnostics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.