NPIMap

Organization Active NPI

Cardiosom LLC Dba MD Sleep of Ft. Wayne

  • Other Technician
  • Ft Wayne, IN
National Provider Identifier
1073510178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE
Practice address
1625 Magnavox Way
Ft Wayne, IN 46804-1535
Phone
(260) 459-9248
Fax
(260) 459-9247
NPI assigned
Jul 5, 2005
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
Kevin Paul Greisl
Title
President
Phone
(317) 706-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

1625 Magnavox Way
Ft Wayne, IN 46804-1535

Mailing address

615 W Carmel Dr
Suite 100
Carmel, IN 46032-2996
Phone (317) 706-1080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073510178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CARMEL DR",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322996",
            "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": "260-459-9248",
            "fax_number": "260-459-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "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"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wayne, 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.