QHG of Fort Wayne Company LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

QHG OF FORT WAYNE COMPANY LLC

Practice address

3717 Maplecrest Rd
Fort Wayne, IN 46815-8424

Phone

(260) 486-7334

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Debbie T Brewer

Title

Director of Provider Enrollment

Phone

(615) 465-7626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1083656573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 MAPLECREST RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158424",
            "telephone_number": "260-486-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHG OF FORT WAYNE COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Pyle, MT-BC
• Xavier S Qadar, MS
• Nasser Omar Qadri, MD
• Syed Majeed Qadri
• Mahnaz Qazi, MD
• QHG of Fort Wayne Company LLC
• QHG of Fort Wayne Company LLC
• QHG of Fort Wayne Company, LLC
• QHG of Fort Wayne, Inc D/B/a Redimed (RediMed/Business Health Services)
• QHG of Fort Wayne, Inc. (Business Health Services North)

• General Practice Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.