Aboite Health Center, Inc.
Organization Active NPI General Practice Physician · Fort Wayne, IN
NPI 1285900282 · NPPES record last updated Feb 27, 2015
Key facts
- NPI
- 1285900282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- ABOITE HEALTH CENTER, INC.
- Practice address
- 5649 Coventry LN
Fort Wayne, IN 46804-7145 - Phone
- (260) 436-6565
- NPI assigned
- Mar 24, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Perry L Lyons, DC
- Title
- Owner
- Phone
- (260) 436-6565
Practitioners 2
-
Perry Lynn Lyons, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120711000517 | IN | Part B Supplier - Clinic/Group Practice | 9739344086 |
Receives reassigned benefits from 2 practitioners Practice locations: Fort Wayne, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | |||
| General Practice Physician |
208D00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
5649 Coventry LN
Fort Wayne, IN 46804-7145
Mailing address
5649 Coventry LN
Fort Wayne, IN 46804-7145
Phone (260) 436-6565
Other providers in Fort Wayne, IN
- Christine Abeysekera
- Aboite Civil Township
- Aboite Eye Care, P.C.
- Aboite Eye Care, P.C.
- Aboite Family Eyecare Center, Inc.
- Aboite Podiatry Associates PC
- Aboite Township Fire Dept in
- Ibrahim H Abou Daya
- Above and Beyond ABA in LLC
- Daniel Abraha
All providers in Fort Wayne, IN · General Practice Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.