Individual provider Active NPI

Angela Robbins Gebert

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
National Provider Identifier
1356583918
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
5436 Old Maumee Rd
Unit 1
Fort Wayne, IN 46803-1713
Phone
(260) 748-7711
Fax
(260) 748-7877
NPI assigned
Mar 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5436 Old Maumee Rd
Unit 1
Fort Wayne, IN 46803-1713

Mailing address

3428 Bristers Spring Run
Fort Wayne, IN 46815-6208
Phone (260) 416-4623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238198400000",
    "number": "1356583918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 BRISTERS SPRING RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156208",
            "telephone_number": "260-416-4623",
            "fax_number": "260-748-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 OLD MAUMEE RD",
            "address_2": "UNIT 1",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468031713",
            "telephone_number": "260-748-7711",
            "fax_number": "260-748-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBERT",
        "first_name": "ANGELA",
        "middle_name": "ROBBINS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-28",
        "last_updated": "2009-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 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.