Active NPI
Fort Wayne Medical Education Program Inc
- Family Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1730329566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FORT WAYNE MEDICAL EDUCATION PROGRAM INC
- Practice address
- 1 E Main St Ste 510
Fort Wayne, IN 46802-1815 - Phone
- (260) 499-8660
- NPI assigned
- Mar 6, 2009
- Last updated
- Mar 6, 2009
- 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
- Eric J Whicker, CFA
- Title
- Finacial Officer
- Phone
- (260) 423-2682
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1 E Main St Ste 510
Fort Wayne, IN 46802-1815
Mailing address
1 E Main St Ste 510
Fort Wayne, IN 46802-1815
Phone (260) 499-8660
Other names 1
- Fort Wayne City County Bld
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236297600000",
"number": "1730329566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E MAIN ST STE 510",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468021815",
"telephone_number": "260-499-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E MAIN ST STE 510",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468021815",
"telephone_number": "260-499-8660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT WAYNE MEDICAL EDUCATION PROGRAM INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A",
"authorized_official_last_name": "WHICKER",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "FINACIAL OFFICER",
"authorized_official_telephone_number": "260-423-2682",
"authorized_official_credential": "CFA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fort Wayne City County Bld",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Wayne, IN
- Fort Wayne Gi Pathology Services, PC, Inc.
- Fort Wayne Hearing Center & Audiology, Inc. (Quality House Hearing Care Center)
- Fort Wayne Integrative Medicine
- Fort Wayne Medical Clinic PC
- Fort Wayne Medical Education Program (The Family Medicine Center)
- Fort Wayne Medical Institute
- Fort Wayne Medical Laboratory Corporation
- Fort Wayne Medical Oncology & Hemat (Ft Wayne Med Oncology and Hematology)
- Fort Wayne Medical Oncology and Hematology Inc
- Fort Wayne Medical Oncology and Hematology Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.