Active NPI
Women's Health Advantage
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
National Provider Identifier
1205056561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WOMEN'S HEALTH ADVANTAGE
- Practice address
- 7635 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (260) 432-4400
- NPI assigned
- Apr 27, 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
- Roger E Sporre, MD
- Title
- Owner Partner
- Phone
- (260) 432-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
7635 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
2512 Dupont Road
Suite 200
Fort Wayne, IN 46825
Phone (260) 432-4400
National Provider Directory
National Provider Directory- Tax ID family
- Women's Health Advantage
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
- NPI 1124007158
-
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
- NPI 1831177906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205056561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 DUPONT ROAD",
"address_2": "SUITE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46825",
"telephone_number": "260-432-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7635 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044133",
"telephone_number": "260-432-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S HEALTH ADVANTAGE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPORRE",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER PARTNER",
"authorized_official_telephone_number": "260-432-4400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort 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.