Organization Active NPI

Parkview Hospital, Inc.

  • Trauma Surgery Physician
  • Fort Wayne, IN
National Provider Identifier
1669576997
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
PARKVIEW HOSPITAL, INC.
Practice address
11109 Parkview Plaza Dr
Trauma Unit
Fort Wayne, IN 46845-1701
Phone
(260) 373-4000
NPI assigned
Sep 8, 2006
Organization subpart
Yes
Parent organization
PARKVIEW HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Mr. Michael Browning
Title
SVP -- Cfo
Phone
(260) 373-8407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

11109 Parkview Plaza Dr
Trauma Unit
Fort Wayne, IN 46845-1701

Mailing address

PO Box 5600
Fort Wayne, IN 46895-5600
Phone (260) 373-7008

Other identifiers 2

IdentifierTypeStateIssuer
0407947MedicaidOH
200246680AMedicaidIN

Other names 1

  • Parkview Hospital Physicians Other name

National Provider Directory

National Provider Directory
Part of
Parkview Memorial Hospita

Locations

885 W Connexion Way
Ste 200A
Columbia City, IN 46725
Phone (260) 248-9260

2426 E State Blvd
Fort Wayne, IN 46805

7030 Pointe Inverness Way
Fort Wayne, IN 46804

Practitioners & affiliated clinicians

Practitioners 80

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

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1669576997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5600",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468955600",
            "telephone_number": "260-373-7008",
            "fax_number": "260-373-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR",
            "address_2": "TRAUMA UNIT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701",
            "telephone_number": "260-373-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW HOSPITAL, INC.",
        "enumeration_date": "2006-09-08",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP -- CFO",
        "authorized_official_telephone_number": "260-373-8407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407947",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200246680A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Hospital Physicians",
            "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 Feb 12, 2014; 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.