Active NPI
Sydney Giamalis
- Physician Assistant
- Fort Wayne, IN
National Provider Identifier
1467387043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5050 N Clinton St
Fort Wayne, IN 46825-5822 - Phone
- (260) 484-8551
- Fax
- (260) 482-5060
- NPI assigned
- Jun 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5050 N Clinton St
Fort Wayne, IN 46825-5822
Mailing address
5052 N Clinton St
Fort Wayne, IN 46825-5822
Phone (260) 484-8551
Other practice location 1
8202 Glencarin Blvd Ste 300
Fort Wayne, IN 46804-5783
Phone (260) 484-8551
Other practice location 2
11136 Parkview Circle Dr
Fort Wayne, IN 46845-1730
Phone (260) 484-8551
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": "1781568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1467387043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5052 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255822",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 N CLINTON ST",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255822",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060"
}
],
"practiceLocations": [
{
"address_1": "8202 Glencarin Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468045783",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11136 Parkview Circle Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451730",
"country_code": "US",
"telephone_number": "260-484-8551",
"fax_number": "260-482-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIAMALIS",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.