Ft Wayne Cardiac Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FT WAYNE CARDIAC CENTER LLC

Practice address

7910 W Jefferson Blvd
Ste. 120
Fort Wayne, IN 46804-4159

Phone

(260) 432-2297

Fax

(260) 436-4380

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joel Sauer

Title

Member

Phone

(260) 432-2297

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295749117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2588",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468012588",
            "telephone_number": "260-432-2297",
            "fax_number": "260-436-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD",
            "address_2": "STE. 120",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-432-2297",
            "fax_number": "260-436-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT WAYNE CARDIAC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "260-432-2297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00098221",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauryn Frump
• Carrie Fry-Miller
• Casie Frye
• Hannah N Frye, RBT
• Michelle L Frye, OD
• Ft Wayne Cardiac Integrative and Primary Care LLC
• Ft Wayne in Opco 2 LLC
• Ft Wayne Opco LLC
• Ft. Wayne-Allen County Department of Health
• Jenna Fuchs-Sobieck

• Ambulatory Surgical Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• 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.

Verify at the official NPI Registry.