Organization Active NPI

Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery

  • Neurological Surgery Physician
  • Angola, IN
National Provider Identifier
1073504932
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ALLIED PHYSICIANS INC., D/B/A FORT WAYNE NEUROSURGERY
Practice address
306 E Maumee St
Suite 3
Angola, IN 46703-2038
Phone
(800) 866-6463
NPI assigned
Oct 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen R Smith
Title
Ceo/Treasurer
Phone
(260) 436-2416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

306 E Maumee St
Suite 3
Angola, IN 46703-2038

Mailing address

306 E Maumee St
Suite 3
Angola, IN 46703-2038
Phone (800) 866-6463

National Provider Directory

National Provider Directory
Tax ID family
Allied Physicians Inc Dba Fort Wayne Neurosurgery41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

306 E Maumee St
Ste 3
Angola, IN 46703
Phone (219) 460-3100

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073504932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAUMEE ST",
            "address_2": "SUITE 3",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032038",
            "telephone_number": "800-866-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAUMEE ST",
            "address_2": "SUITE 3",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032038",
            "telephone_number": "800-866-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICIANS INC., D/B/A FORT WAYNE NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/TREASURER",
        "authorized_official_telephone_number": "260-436-2416"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

  • 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.