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Ourhealth Physicians Group, LLC

Organization Active NPI Clinic/Center · Fort Wayne, IN

NPI 1386222115 · NPPES record last updated Apr 1, 2021

Key facts

NPI
1386222115
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
OURHEALTH PHYSICIANS GROUP, LLC
Practice address
309 Insurance Dr
Fort Wayne, IN 46825-4252
Phone
(802) 857-0400
NPI assigned
Apr 1, 2021
Organization subpart
No

Authorized official

Name
Jeffrey Michael Wells
Title
President
Phone
(317) 522-0823

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Andrea K Tufo, DO Family Medicine Physician · Fort Wayne, IN · NPI 1518229459
    NPD

National Provider Directory

Tax ID family
Ourhealth Physicians Group LLC (69 organizations share this tax ID)

Locations

309 Insurance Dr
Fort Wayne, IN 46825

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

309 Insurance Dr
Fort Wayne, IN 46825-4252

Mailing address

10 W Market St Ste 2900
Indianapolis, IN 46204-2964

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2021.

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1386222115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 INSURANCE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254252",
            "telephone_number": "802-857-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURHEALTH PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-522-0823"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

All providers in Fort Wayne, IN · Clinic/Center in Indiana

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