Active NPI
Fort Wayne Medical Oncology and Hematology, Inc.
- Hematology & Oncology Physician
- Angola, IN
National Provider Identifier
1528044005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC.
- Practice address
- 516 E Maumee St
Angola, IN 46703-2017 - Phone
- (260) 668-4040
- Fax
- (260) 668-3897
- NPI assigned
- Dec 16, 2005
- Organization subpart
- Yes
- Parent organization
- FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne Krahn
- Title
- Practice Manager
- Phone
- (260) 969-7868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
516 E Maumee St
Angola, IN 46703-2017
Mailing address
PO Box 15099
Fort Wayne, IN 46885-5099
Phone (260) 484-8830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA4536 | Other | IN | MEDICARE RR |
National Provider Directory
National Provider Directory- Part of
- Ft Wayne Medical Oncology
Locations
11143 Parkview Plaza Dr
#1
Fort Wayne, IN 46845
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Fort Wayne, IN
- NPI 1528060431
Hematology & Oncology
-
- Hematology & Oncology Physician
- Fort Wayne, IN
- NPI 1245232156
Hematology & Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1528044005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15099",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468855099",
"telephone_number": "260-484-8830",
"fax_number": "260-483-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 E MAUMEE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467032017",
"telephone_number": "260-668-4040",
"fax_number": "260-668-3897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY",
"enumeration_date": "2005-12-16",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "KRAHN",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "260-969-7868"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "CA4536",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.