Parkview Health System, Inc.
Organization Active NPI Obstetrics & Gynecology Physician · Fort Wayne, IN
NPI 1720190002 · NPPES record last updated Mar 22, 2022
Key facts
- NPI
- 1720190002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- PARKVIEW HEALTH SYSTEM, INC.
- Practice address
- 11123 Parkview Plaza Dr Ste 101
Fort Wayne, IN 46845-1707 - Phone
- (260) 425-6650
- Fax
- (260) 425-6649
- NPI assigned
- Aug 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PARKVIEW HEALTH SYSTEM, INC.
Authorized official
- Name
- Kristina Bigelow
- Title
- Director
- Phone
- (260) 266-1403
Other NPIs on the same Medicare enrollment 10
Practitioners 67
-
Amy Lynn Austin, MD
-
Sunil Babu, M.D.
-
Patricia E Baldwin-Bodie, RNC, WHNP
-
Diana E Barbu, M.D.
-
Emily S Bowsher, M.D.
-
Scott C Boyd, MD
-
Matthew A Byers, M.D.
-
Catherine S. Chung, M.D.
-
Geoffrey C Cly, M.D.
-
Lindsay M Coda, D.O.
-
Rebecca Cronin, MSN, CNM
-
Cinamon L Donley, NP-C
-
Lisa M. Fedderke, MIDWIFE
-
Sara K Ford-Terry, FNP-C
-
Christina M Francis, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Parkview Health Systems
Locations
1818 Carew St
Ste 160
Fort Wayne, IN 46805
Phone (219) 436-0058
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
11123 Parkview Plaza Dr Ste 101
Fort Wayne, IN 46845-1707
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone (260) 266-8210
Other names
- Parkview Physicians Group
- Parkview Physicians Group OB/GYN
NPI Registry JSON
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647907200000",
"number": "1720190002",
"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": "11123 PARKVIEW PLAZA DR STE 101",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451707",
"telephone_number": "260-425-6650",
"fax_number": "260-425-6649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKVIEW HEALTH SYSTEM, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARKVIEW HEALTH SYSTEM, INC.",
"enumeration_date": "2006-08-31",
"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": "176B00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkview Physicians Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Parkview Physicians Group OB/GYN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fort Wayne, IN
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- Parkview Health System, Inc.
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All providers in Fort Wayne, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.