Active NPI
Fort Wayne Cardiovascular Associates
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Wayne, IN
National Provider Identifier
1215080692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- FORT WAYNE CARDIOVASCULAR ASSOCIATES
- Practice address
- 800 Broadway
Suite 201
Fort Wayne, IN 46802-2149 - Phone
- (260) 483-6448
- Fax
- (260) 373-4167
- NPI assigned
- Jan 19, 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
- David Lloyd, MD
- Title
- Partner
- Phone
- (260) 483-6448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
800 Broadway
Suite 201
Fort Wayne, IN 46802-2149
Mailing address
800 Broadway
Suite 201
Fort Wayne, IN 46802-2149
Phone (260) 483-6448
National Provider Directory
National Provider Directory- Tax ID family
- Fort Wayne Cardiovascular Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Wayne, IN
- NPI 1205989159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215080692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BROADWAY",
"address_2": "SUITE 201",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468022149",
"telephone_number": "260-483-6448",
"fax_number": "260-373-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BROADWAY",
"address_2": "SUITE 201",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468022149",
"telephone_number": "260-483-6448",
"fax_number": "260-373-4167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WAYNE CARDIOVASCULAR ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LLOYD",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "260-483-6448",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- Fort Wayne Autism Center Inc
- Fort Wayne Brain & Spine Center LLC
- Fort Wayne Cardiology Corporation
- Fort Wayne Cardiology Corporation
- Fort Wayne Cardiovascular Associates
- Fort Wayne Cardiovascular Surgeon
- Fort Wayne Cardiovascular Surgeons, PC
- Fort Wayne Care Inc
- Fort Wayne Chiropractic, Inc.
- Fort Wayne Clubhouse, Inc
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.