Active NPI
T-Med Services, Inc
- Neurology Physician
- Fort Wayne, IN
National Provider Identifier
1396080156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01070620A
- Legal business name
- T-MED SERVICES, INC
- Practice address
- 2510 E Dupont Rd
Suite 201
Fort Wayne, IN 46825-1601 - Phone
- (260) 267-6383
- Fax
- (888) 342-1601
- NPI assigned
- Dec 5, 2012
- Last updated
- Oct 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Orvil Collins, MD
- Title
- President
- Phone
- (260) 267-6142
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002635A | IN | |
| Counseling Psychologist | 103TC1900X | 20042429A | IN | |
| Neurology Physician | 2084N0400X | 01070620A | IN | Primary |
Addresses
Primary practice location
2510 E Dupont Rd
Suite 201
Fort Wayne, IN 46825-1601
Mailing address
6435 W Jefferson Blvd
#241
Fort Wayne, IN 46804-6203
Phone (260) 267-6142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1716 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 490-5111
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571616000000",
"number": "1396080156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD",
"address_2": "#241",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046203",
"telephone_number": "260-267-6142",
"fax_number": "260-918-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 E DUPONT RD",
"address_2": "SUITE 201",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251601",
"telephone_number": "260-267-6383",
"fax_number": "888-342-1601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T-MED SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-05",
"last_updated": "2019-10-21",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ORVIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "260-267-6142",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002635A",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20042429A",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01070620A",
"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 Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.