Baltes Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

01026188A Issued in IN

Legal business name

BALTES CARDIOLOGY

Practice address

821 Broadway
Fort Wayne, IN 46802-2107

Phone

(260) 439-0044

Fax

(260) 422-7860

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

WM Edward Baltes, MD

Title

Managing Partner

Phone

(260) 439-0044

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 2

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.

• Thomas P Ryan, DO

  • Cardiovascular Disease Physician
  • Fort Wayne, IN
  • NPI 1275507055
  NPD (past)
• Michael Wemhoff, PA

  • Medical Physician Assistant
  • Fort Wayne, IN
  • NPI 1720097314
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1174625065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 BROADWAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022107",
            "telephone_number": "260-439-0044",
            "fax_number": "260-422-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 BROADWAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022107",
            "telephone_number": "260-439-0044",
            "fax_number": "260-422-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTES CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "BALTES",
        "authorized_official_first_name": "WM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "260-439-0044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01026188A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100330950",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TPR",
            "identifier": "295429889004",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TPR",
            "identifier": "000000090931",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100059740A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "303562034003",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100460500",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEB ANTHEM",
            "identifier": "000000090932",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana M Ball, LCSW
• Lyndsey Brooke Ball, FNP
• Grace Ballinger, PHARMD
• Jennifer P Ballinger
• Annette Balser
• Christopher A. Baltes, MD
• Jorge Antonio Baltzell, DDS
• Jacob Balyeat, PHARMD
• Thomas Mark Banas, M.D.
• Joycelyn Banda

• Cardiovascular Disease Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.