Organization Active NPI

Georgetown Medical Associate

Doing business as ante b najev

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1316270770
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEORGETOWN MEDICAL ASSOCIATE
Doing business as
ante b najev
Practice address
2789 Maplecrest Rd Ste a
Fort Wayne, IN 46815-7031
Phone
(260) 486-4762
Fax
(260) 485-9348
NPI assigned
Sep 16, 2009
Last updated
Sep 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Mr. Ante B Najev, MD
Title
Physician
Phone
(260) 486-4762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2789 Maplecrest Rd Ste a
Fort Wayne, IN 46815-7031

Mailing address

2789 Maplecrest Rd Ste a
Fort Wayne, IN 46815-7031
Phone (260) 486-4762

Other identifiers 2

IdentifierTypeStateIssuer
000000289888OtherINANTHEM BCBS
200000540CMedicaidIN

Other names 1

  • ante b najev Doing business as

National Provider Directory

National Provider Directory

Locations

2789 Maplecrest Rd
Ste A
Fort Wayne, IN 46815
Phone (260) 486-4762

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1316270770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2789 MAPLECREST RD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157031",
            "telephone_number": "260-486-4762",
            "fax_number": "260-485-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 MAPLECREST RD STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157031",
            "telephone_number": "260-486-4762",
            "fax_number": "260-485-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN MEDICAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "NAJEV",
        "authorized_official_first_name": "ANTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "260-486-4762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000289888",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000540C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ante b najev",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 2009; 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.