Michael J Phend, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01030254 Issued in IN

Legal business name

MICHAEL J PHEND, MD

Practice address

3124 E State Blvd
Suite 3F
Fort Wayne, IN 46805-4798

Phone

(260) 482-1681

Fax

(260) 482-1857

NPI assigned

Feb 7, 2007

Last updated

Jan 17, 2008By 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

Dr. Micheal James Phend, MD

Title

Physician

Phone

(260) 482-1681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1346380847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 SWEET WOOD CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148127",
            "telephone_number": "260-482-1681",
            "fax_number": "260-482-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E STATE BLVD",
            "address_2": "SUITE 3F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054798",
            "telephone_number": "260-482-1681",
            "fax_number": "260-482-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J PHEND, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "PHEND",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "260-482-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01030254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.