Active NPI
Fort Wayne Allergy and Asthma Consultants, Inc.
- Allergy & Immunology Physician
- Fort Wayne, IN
National Provider Identifier
1689714727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- FORT WAYNE ALLERGY AND ASTHMA CONSULTANTS, INC.
- Practice address
- 7920 W Jefferson Blvd
Suite 220
Fort Wayne, IN 46804-4168 - Phone
- (260) 436-5670
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lyn Wittwer
- Title
- Office Manager
- Phone
- (260) 436-5670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary |
Addresses
Primary practice location
7920 W Jefferson Blvd
Suite 220
Fort Wayne, IN 46804-4168
Mailing address
7920 W Jefferson Blvd
Suite 220
Fort Wayne, IN 46804-4168
Phone (260) 436-5670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200291770A | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Fort Wayne Allergy and Asthma Consultants Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Fort Wayne, IN
- NPI 1487734109
Locations
7920 W Jefferson Blvd
Ste 220
Fort Wayne, IN 46804
Phone (260) 436-5670
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy Physician
- Fort Wayne, IN
- NPI 1063413052
-
- Allergy Physician
- Fort Wayne, IN
- NPI 1982605937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689714727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 W JEFFERSON BLVD",
"address_2": "SUITE 220",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044168",
"telephone_number": "260-436-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 W JEFFERSON BLVD",
"address_2": "SUITE 220",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044168",
"telephone_number": "260-436-5670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WAYNE ALLERGY AND ASTHMA CONSULTANTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WITTWER",
"authorized_official_first_name": "LYN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "260-436-5670"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200291770A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- Jeri Ann Forrest, LCSW
- Deanna Forsythe
- Fort Wayne Aal LP (Silver Birch of Fort Wayne)
- Fort Wayne Al, LLC
- Fort Wayne Allergy and Asthma Consultants, Inc.
- Fort Wayne Audiology Consultants, LLC (Lowe Audiology and Hearing Care)
- Fort Wayne Autism Center Inc
- Fort Wayne Brain & Spine Center LLC
- Fort Wayne Cardiology Corporation
- Fort Wayne Cardiology Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.