Active NPI
Lauren June Stoffel, DO
- Family Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11017942A
- Practice address
- 2932 W Ludwig Rd
Fort Wayne, IN 46818-1328 - Phone
- (260) 755-1304
- Fax
- (260) 755-1306
- NPI assigned
- Jun 27, 2014
- Last updated
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.012859 | OH | |
| Family Medicine Physician | 207Q00000X | 11017942A | IN | Primary |
Addresses
Primary practice location
2932 W Ludwig Rd
Fort Wayne, IN 46818-1328
Mailing address
2932 W Ludwig Rd
Fort Wayne, IN 46818-1328
Phone (260) 755-1304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017942A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Indiana University Health Fort Wayne Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Neighborhood Health Clinics, Inc | Family Medicine | Current | Accepting new patients |
| Neighborhood Health Clinics, Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Everside Health Fort Wayne-W Ludwig Rd | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
1100 Mercer Ave
Decatur, IN 46733
1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641
256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806
3350 E Paulding Rd
Fort Wayne, IN 46816
Phone (260) 423-2585
7230 Engle Rd
Fort Wayne, IN 46804
Phone (219) 422-9466
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
Interoperability endpoints
- lauren.stoffel.1@14940.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
-
- Family Medicine Physician
- Muncie, IN
- NPI 1316550445
-
- Clinic/Center
- Fort Wayne, IN
- NPI 1730989518
-
- Clinic/Center
- Fort Wayne, IN
- NPI 1861880890
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1063827053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2932 W LUDWIG RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468181328",
"telephone_number": "260-755-1304",
"fax_number": "260-755-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2932 W LUDWIG RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468181328",
"telephone_number": "260-755-1304",
"fax_number": "260-755-1306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOFFEL",
"first_name": "LAUREN",
"middle_name": "JUNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-27",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.012859",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11017942A",
"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 Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.