Fort Wayne Urology Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

FORT WAYNE UROLOGY INC.

Practice address

1818 Carew St
Suite 210
Fort Wayne, IN 46805-4788

Phone

(260) 482-8681

Fax

(260) 373-4699

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Jan Himmelein

Title

Office Manager

Phone

(260) 482-8681

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Craig Hamilton

  • Urology Physician
  • Fort Wayne, IN
  • NPI 1407867047
  NPD (past)
• Rochelle Loraine Johnson, N.P.

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1376693101
  NPD (past)
• Paul Richard Eber, M.D.

  • Urology Physician
  • Germantown, TN
  • NPI 1124085634
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1508945809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 CAREW ST",
            "address_2": "SUITE 210",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054788",
            "telephone_number": "260-482-8681",
            "fax_number": "260-373-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 CAREW ST",
            "address_2": "SUITE 210",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054788",
            "telephone_number": "260-482-8681",
            "fax_number": "260-373-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WAYNE UROLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HIMMELEIN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-482-8681"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100050350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fort Wayne Radiology Associates LLC
• Fort Wayne Rheumatology
• Fort Wayne Seating & Rehab Corporation
• Fort Wayne Smiles PC
• Fort Wayne Upright MRI, LLC
• Fort Wayne Vascular Care LLC
• Fort Wayne Vision Associates LTD
• Jill Diane Forte, M.S., BCBA
• Robert A Forte, MD
• Guy H Fortier, DDS

• Urology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Urology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.