Active NPI
Professional Emergency Physicians Inc
- Medical Physician Assistant
- Kendallville, IN
National Provider Identifier
1215044102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- PROFESSIONAL EMERGENCY PHYSICIANS INC
- Practice address
- 401 N Sawyer Rd
Kendallville, IN 46755-2568 - Phone
- (260) 347-1100
- NPI assigned
- Aug 24, 2006
- 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
- Dr. Thomas E Gutwein, MD
- Title
- President
- Phone
- (260) 482-4440
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
401 N Sawyer Rd
Kendallville, IN 46755-2568
Mailing address
2414 E State Blvd
Suite 202
Fort Wayne, IN 46805-4760
Phone (260) 482-4440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2517735 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Professional Emergency Physicians Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Physician Assistant
- Columbia City, IN
- NPI 1184731069
-
- Medical Physician Assistant
- Huntington, IN
- NPI 1528175411
-
- Medical Physician Assistant
- Fort Wayne, IN
- NPI 1992812861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1215044102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 E STATE BLVD",
"address_2": "SUITE 202",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054760",
"telephone_number": "260-482-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N SAWYER RD",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467552568",
"telephone_number": "260-347-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL EMERGENCY PHYSICIANS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "GUTWEIN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "260-482-4440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2517735",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kendallville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.