Medical Group of Fort Wayne, P.C.
Organization Active NPI Cardiovascular Disease Physician · Fort Wayne, IN
NPI 1811956337 · NPPES record last updated Mar 12, 2008
Key facts
- NPI
- 1811956337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- MEDICAL GROUP OF FORT WAYNE, P.C.
- Practice address
- 7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140 - Phone
- (260) 432-2297
- Fax
- (260) 434-6420
- NPI assigned
- Mar 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Joel R. Sauer
- Title
- Ceo
- Phone
- (260) 432-2297
Practitioners 20
-
Ravindra Bathina, M.D.
-
Sarah E. Crook, NP
-
Krishna Datta, M.D.
-
Susan Delagrange, RDCD
-
Gary A. Hambel, M.D.
-
Mark A. Jones, MD
-
Douglas A. Neeld, MD
-
Rutvik S. Patel, M.D.
-
Fred L. Rasp, MD
-
Melissa Yake, R.D.
-
Roberta Ann Beller, ANP-BC
-
Janette L Bowers, NP
-
Susan Kay Hook, ARNP
-
Ravindra Murthy, MD
National Provider Directory
Locations
203 S Main St
Bluffton Regional Hospital
Bluffton, IN 46714
100 W Horton St
#102
Bluffton, IN 46714
Phone (260) 824-5410
815 High St
Ste D
Decatur, IN 46733
Phone (219) 724-8551
2121 Lake Ave
Fort Wayne, IN 46805
Phone (800) 360-8387
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | Yes | ||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | |||
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Interventional Cardiology Physician |
207RI0011X | |||
| Infectious Disease Physician |
207RI0200X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Rheumatology Physician |
207RR0500X | |||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | |||
| Nuclear Cardiology Physician |
207UN0901X | |||
| Hospitalist Physician |
208M00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Mailing address
PO Box 2505
Fort Wayne, IN 46801-2505
Phone (260) 432-2297
Other names
- The Heart Center of Fort Wayne
Other providers in Fort Wayne, IN
- Riley Hope McPheters
- Katelyn McQuinn
- Chelsie McSorley
- MDS Counseling Services, LLC
- Megan Rose Meador
- Medical Mobility Inc
- Medical Mobility, LLC
- Medical Nutritional Therapists, Inc
- Medical Service Company
- Melissa Marlene Medlock
All providers in Fort Wayne, IN · Cardiovascular Disease 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 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.