Parkview Professional Programs, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PARKVIEW PROFESSIONAL PROGRAMS, INC.

Practice address

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Phone

(260) 373-9420

Fax

(260) 373-9464

NPI assigned

Oct 3, 2006

Organization subpart

Yes

Parent organization

PARKVIEW PROFESSIONAL PROGRAMS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mike Browning

Title

Executive VP -- Cfo

Phone

(260) 373-8407

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Parkview Health Laboratories Other name

Part of

Fort Wayne Regional Lab

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1508950171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5600",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468955600",
            "telephone_number": "260-373-7008",
            "fax_number": "260-373-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701",
            "telephone_number": "260-373-9420",
            "fax_number": "260-373-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW PROFESSIONAL PROGRAMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW PROFESSIONAL PROGRAMS, INC.",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE VP -- CFO",
        "authorized_official_telephone_number": "260-373-8407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000097317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "806088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "2814",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2875661",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1000514",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100282380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Health Laboratories",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Parkview Hospital, Inc.
• Parkview Hospitals, Inc.
• Parkview Occupational Health Centers, Inc.
• Parkview Ortho Center, LLC
• Parkview Ortho Performance Center, LLC
• Braden Douglas Parmer, MD
• Chase Parnell, LMHC
• Lisa A. Parnin, OTR
• Melissa Sue Parnin, APRN
• Alexandra Nicole Parr, MAT, LAT, ATC

• Clinical Medical Laboratory in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.