DRS. Nelson & Menon

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

DRS. NELSON & MENON

Practice address

3030 Lake Ave
Suite 27
Fort Wayne, IN 46805-5428

Phone

(260) 422-5569

Fax

(260) 422-6086

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohan M Menon, MDNPI 1851491377

Title

Partner/Physician

Phone

(260) 422-5569

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohan M Menon, M.D.

  • Allergy & Immunology Physician
  • Fort Wayne, IN
  • NPI 1851491377
  Authorized official Same address or phone

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346320504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LAKE AVE",
            "address_2": "SUITE 27",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055428",
            "telephone_number": "260-422-5569",
            "fax_number": "260-422-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LAKE AVE",
            "address_2": "SUITE 27",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055428",
            "telephone_number": "260-422-5569",
            "fax_number": "260-422-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. NELSON & MENON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER/PHYSICIAN",
        "authorized_official_telephone_number": "260-422-5569",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelon Joan Dribble, LCSW
• Driftwood Therapist
• Donna Driscoll
• Chelsea Lynn Driver, M.S., LAT, ATC
• Norma J Driver, NP
• Cody David Drudge
• Kimbra A Druley, DDS
• Christina C Drummond, M.D.
• Kathryn G Drummond, AU.D
• Dsi Renal Inc (NRI Lake Avenue Home)

• Allergy & Immunology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Allergy & Immunology Physician 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.