Active NPI
Fort Wayne Cardiology Corporation
- Cardiovascular Disease Physician
- Fort Wayne, IN
National Provider Identifier
1134318355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- FORT WAYNE CARDIOLOGY CORPORATION
- Practice address
- 1819 Carew St
Fort Wayne, IN 46805-4705 - Phone
- (260) 481-4700
- Fax
- (260) 481-4808
- NPI assigned
- Oct 24, 2007
- 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
- Nancy Schroeder
- Title
- Cfo
- Phone
- (260) 481-4700
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Interventional Cardiology Physician | 207RI0011X |
Addresses
Primary practice location
1819 Carew St
Fort Wayne, IN 46805-4705
Mailing address
PO Box 11829
Fort Wayne, IN 46861-1829
Phone (260) 481-4700
National Provider Directory
National Provider DirectoryLocations
11141 Parkview Plaza Dr
Ste 315
Fort Wayne, IN 46845
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1043202914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223337600000",
"number": "1134318355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11829",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468611829",
"telephone_number": "260-481-4700",
"fax_number": "260-481-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 CAREW ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054705",
"telephone_number": "260-481-4700",
"fax_number": "260-481-4808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WAYNE CARDIOLOGY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2008-10-07",
"status": "A",
"authorized_official_last_name": "SCHROEDER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "260-481-4700"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- Fort Wayne Allergy and Asthma Consultants, Inc.
- Fort Wayne Allergy and Asthma Consultants, Inc.
- Fort Wayne Audiology Consultants, LLC
- Fort Wayne Autism Center Inc
- Fort Wayne Brain & Spine Center LLC
- Fort Wayne Cardiology Corporation
- Fort Wayne Cardiovascular Associates
- Fort Wayne Cardiovascular Associates
- Fort Wayne Cardiovascular Surgeon
- Fort Wayne Cardiovascular Surgeons, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.