Ft. Wayne-Allen County Department of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

01041980A Issued in IN

Legal business name

FT. WAYNE-ALLEN COUNTY DEPARTMENT OF HEALTH

Practice address

4813 New Haven Ave
Fort Wayne, IN 46803-3018

Phone

(260) 449-7578

Fax

(260) 427-1391

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mindy Waldron

Title

Department Administrator

Phone

(260) 449-7578

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Allen County Auditor Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Menze-Wagner, DO

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1831547124
  Medicare reassignment NPD
• Kelli Rose Roe, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1831600311
  Medicare reassignment NPD
• Matthew Robert Sutter, MD

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1548287501
  Medicare reassignment NPD

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1649422668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BERRY ST.",
            "address_2": "SUITE 360",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022738",
            "telephone_number": "260-449-7578",
            "fax_number": "260-427-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 NEW HAVEN AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468033018",
            "telephone_number": "260-449-7578",
            "fax_number": "260-427-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT. WAYNE-ALLEN COUNTY DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "DEPARTMENT ADMINISTRATOR",
        "authorized_official_telephone_number": "260-449-7578",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IN",
            "license": "01041980A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200946540A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052870C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen County Auditor",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Allen County Auditor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle L Frye, OD
• Ft Wayne Cardiac Center LLC
• Ft Wayne Cardiac Integrative and Primary Care LLC
• Ft Wayne in Opco 2 LLC
• Ft Wayne Opco LLC
• Jenna Fuchs-Sobieck
• Amy L Fuchs, MD
• Emalese Rose Fuelling, DPT
• Kacey J Fuelling
• Victoria Fuelling, PHARMD

• Public Health or Welfare Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Public Health or Welfare Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.