NPIMap

Organization Active NPI

Parkview Health System Inc

Doing business as Parkview Physicians Group

  • Colon & Rectal Surgery Physician
  • Fort Wayne, IN
National Provider Identifier
1568617256
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
PARKVIEW HEALTH SYSTEM INC
Doing business as
Parkview Physicians Group
Practice address
11104 Parkview Circle Dr Ste 320
Fort Wayne, IN 46845-1733
Phone
(260) 266-5300
Fax
(260) 266-5314
NPI assigned
Nov 21, 2008
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKVIEW HEALTH SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Kristina Bigelow
Title
Director
Phone
(260) 266-1403

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Surgery Physician 208600000X NU
Colon & Rectal Surgery Physician 208C00000X NU Primary

Addresses

Primary practice location

11104 Parkview Circle Dr Ste 320
Fort Wayne, IN 46845-1733

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone (260) 266-8210

Other names 2

  • Parkview Physicians Group Doing business as
  • Parkview Physicians Group Colong and Rectal Surgery Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000288 IN Part B Supplier - Clinic/Group Practice 2163336967 Receives reassigned benefits from 1,825 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20100209000823 OH Part B Supplier - Clinic/Group Practice 2163336967 Receives reassigned benefits from 7 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Archbold, OH; Paulding, OH; Hicksville, OH; Bryan, OH

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Parkview Health System in

Locations

2231 Carew St
Fort Wayne, IN 46805
Phone (260) 266-7856

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1568617256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701",
            "telephone_number": "260-266-8210",
            "fax_number": "260-458-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 PARKVIEW CIRCLE DR STE 320",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451733",
            "telephone_number": "260-266-5300",
            "fax_number": "260-266-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW HEALTH SYSTEM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW HEALTH SYSTEM, INC.",
        "enumeration_date": "2008-11-21",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "260-266-1403"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkview Physicians Group Colong and Rectal Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.