Active NPI
Patients Choice Medical and Wellness Clinic
- Primary Care Clinic/Center
- Fort Wayne, IN
National Provider Identifier
1518679166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PATIENTS CHOICE MEDICAL AND WELLNESS CLINIC
- Practice address
- 6604 Constitution Dr
Fort Wayne, IN 46804-1575 - Phone
- (260) 387-5912
- NPI assigned
- Dec 14, 2022
- 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
- Ashley K Brown, NP
- Title
- Owner
- Phone
- (260) 387-5912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
6604 Constitution Dr
Fort Wayne, IN 46804-1575
Mailing address
6604 Constitution Dr
Fort Wayne, IN 46804-1575
Phone (260) 387-5912
National Provider Directory
National Provider DirectoryLocations
6604 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 387-5912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670976000000",
"number": "1518679166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6604 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041575",
"telephone_number": "260-387-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6604 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041575",
"telephone_number": "260-387-5912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENTS CHOICE MEDICAL AND WELLNESS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-387-5912",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"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 Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.