Active NPI
Louis Knoble, M.D.
- Anesthesiology Physician
- Fort Wayne, IN
National Provider Identifier
1922005123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01039178A
- Practice address
- 3810 New Vision Dr
Fort Wayne, IN 46845-1708 - Phone
- (260) 482-1004
- Fax
- (260) 483-7894
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01039178A | IN | Primary |
Addresses
Primary practice location
3810 New Vision Dr
Fort Wayne, IN 46845-1708
Mailing address
3810 New Vision Dr
Fort Wayne, IN 46845-1708
Phone (260) 482-1004
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000082089 | Other | IN | ANTHEM BC/BS |
| 1487 | Other | IN | PHP |
| 100323130A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039178A | IN | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1922005123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451708",
"telephone_number": "260-482-1004",
"fax_number": "260-483-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 NEW VISION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451708",
"telephone_number": "260-482-1004",
"fax_number": "260-483-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOBLE",
"first_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01039178A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000082089",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "1487",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100323130A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.