Sleep Centers of Fort Wayne LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SLEEP CENTERS OF FORT WAYNE LLC

Practice address

7223 Engle Rd Ste 110
Fort Wayne, IN 46804-2239

Phone

(260) 969-6450

Fax

(260) 969-6451

NPI assigned

Jun 29, 2007

Last updated

Jun 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen R. Smith

Title

President

Phone

(260) 969-6450

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ajay S Gupta, MD

  • Neurology Physician
  • Fort Wayne, IN
  • NPI 1487651873
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1528265709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223 ENGLE RD STE 110",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042239",
            "telephone_number": "260-969-6450",
            "fax_number": "260-969-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 ENGLE RD STE 110",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042239",
            "telephone_number": "260-969-6450",
            "fax_number": "260-969-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP CENTERS OF FORT WAYNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-969-6450"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Slattery
• Michael L. Slavkin, MA
• Joshua Slayton, LAT, ATC
• Erin Tayana Sledge
• Sleep Centers of Fort Wayne
• Ann Elisabeth Slen
• Chasity Marie Sliger, NP
• Kaylee Sliger
• Brittney Nicole Sloan, PA
• Christopher M Sloan, MD

• Sleep Disorder Diagnostic Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Sleep Disorder Diagnostic Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.