Pediatric Associates Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01025325A Issued in IN

Legal business name

PEDIATRIC ASSOCIATES INC

Practice address

7910 W Jefferson Blvd
Ste 201
Fort Wayne, IN 46804-4159

Phone

(260) 436-3789

Fax

(260) 436-2703

NPI assigned

Jun 13, 2005

Last updated

Apr 10, 2024By 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

Dr. David A RuskNPI 1982601464

Title

President

Phone

(260) 436-3789

Specialties & licenses 1

Addresses

Other identifiers 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

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1ba56762-29f3-48fc-ab7a-bea5f733932b/

Practitioners 9

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.

• David Allen Rusk, MD

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1982601464
  NPD Authorized official
• Abigail R. Haselden, M.D.

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1780926618
  NPD
• Kathryn I Kleber, M.D.

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1477758654
  NPD (past)
• Andrew P Landrigan, MD

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1326042748
  NPD (past)
• Jennifer L Landrigan, MD

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1225032642
  NPD (past)
• Aaron J Sackett, MD

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1023012440
  NPD (past)
• Gregory W Veerkamp, MD

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1548264963
  NPD (past)
• Mary Pat Veerkamp, MD

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1073517496
  NPD (past)
• Heather J. Wolfe, MD

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1760486187
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1659375079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD",
            "address_2": "STE 201",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-3789",
            "fax_number": "260-436-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD",
            "address_2": "STE 201",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-3789",
            "fax_number": "260-436-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "RUSK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-436-3789",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01025325A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100049720A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory K. Pearson, PA
• Kara Peas, PT,DPT
• Autumn Pease
• Cheyenne Peconge
• Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC
• Pediatric Cardiology Associates
• Pediatric Dental Associates PC
• Pediatric Dentistry Inc
• Pediatric Links,LLC
• Pediatric Nursing Specialists of Indiana, Inc. (Deaconess HomeCare)

• Pediatrics Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.