Individual provider Active NPI

Kathryn A Garner, MD

  • Obstetrics & Gynecology Physician
  • Fort Wayne, IN
National Provider Identifier
1841280567
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01039778A Issued in IN
Practice address
10307 Dupont Circle Dr W Ste a
Fort Wayne, IN 46825-1633
Phone
(260) 458-3440
Fax
(260) 458-3441
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01039778A IN Primary

Addresses

Primary practice location

10307 Dupont Circle Dr W Ste a
Fort Wayne, IN 46825-1633

Mailing address

11595 N Meridian St
Ste 375
Carmel, IN 46032-3950
Phone (317) 575-7304

Other practice location 1

1270 E State Road 205 Ste 140
Columbia City, IN 46725-8505
Phone (260) 248-9090

Other identifiers 1

IdentifierTypeStateIssuer
100359680MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathryn.garner@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090407000447 IN Practitioner - Obstetrics/Gynecology 4880684612 Reassigns benefits to 2 organizations
I20200629002409 KY Practitioner - Obstetrics/Gynecology 4880684612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01039778AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates LLC Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
Seven Hills OB-GYN Associates, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
Obhg Indiana, PC Obstetrics & Gynecology CurrentSince Sep 29, 2019 Accepting new patients
Obhg Kentucky, P.S.C. Obstetrics & Gynecology CurrentSince Jun 11, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

11595 N Meridian St
Ste 375
Carmel, IN 46032
Phone (317) 575-7304

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

10307 DuPont Circle Dr W
Ste A
Fort Wayne, IN 46825
Phone (260) 458-3240

8360 S Emerson Ave
Ste 100
Indianapolis, IN 46237
Phone (317) 859-2535

8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: kathryn.garner@axia.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1841280567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 N MERIDIAN ST",
            "address_2": "STE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323950",
            "telephone_number": "317-575-7304",
            "fax_number": "317-575-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10307 DUPONT CIRCLE DR W STE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251633",
            "telephone_number": "260-458-3440",
            "fax_number": "260-458-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 E State Road 205 Ste 140",
            "address_purpose": "LOCATION",
            "city": "Columbia City",
            "state": "IN",
            "postal_code": "467258505",
            "country_code": "US",
            "telephone_number": "260-248-9090",
            "fax_number": "260-248-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01039778A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100359680",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.garner@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "amr direct address",
            "address_1": "10307 DuPont Circle Dr W Ste A",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468251633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.