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Allied Physicians Inc., D/B/a Tri-State Physical Medicine

Organization Active NPI Physical Medicine & Rehabilitation Physician · Fort Wayne, IN

NPI 1477544369 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1477544369
Entity type
Organization (NPI type 2)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
Legal business name
ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE
Practice address
7910 W Jefferson Blvd
Suite 200
Fort Wayne, IN 46804-4159
Phone
(260) 436-2416
NPI assigned
Oct 31, 2005
Organization subpart
No

Authorized official

Name
Stephen R Smith
Title
Ceo/Treasurer
Phone
(260) 436-2416

Corporate family (same tax ID) 40

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

View all 40

Practitioners 4

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

National Provider Directory

Tax ID family
Allied Physicians Inc Dba Fort Wayne Neurosurgery (41 organizations share this tax ID)

Locations

7910 W Jefferson Blvd
Ste 200
Fort Wayne, IN 46804
Phone (260) 435-6275

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208100000X Yes

Addresses

Primary practice location

7910 W Jefferson Blvd
Suite 200
Fort Wayne, IN 46804-4159

Mailing address

7910 W Jefferson Blvd
Suite 200
Fort Wayne, IN 46804-4159
Phone (260) 436-2416

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477544369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/TREASURER",
        "authorized_official_telephone_number": "260-436-2416"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

All providers in Fort Wayne, IN · Physical Medicine & Rehabilitation Physician in Indiana

Sources for this page

Verify at the official NPI Registry.