Fort Wayne Neurosurgery

LBN: Allied Physicians Inc
Fort Wayne Neurosurgery is an health care organization with primary practice located at 7956 W Jefferson Blvd , Fort Wayne IN 46804-4140. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty. Allied Physicians Inc can be contacted via phone (260) 436-2416, or through Canavati, Isa S via phone (260) 436-2416.

Contact Information

Primary practice address
7956 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 436-2416
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canavati, Isa S Doctor of Medicine (MD)
Phone: (260) 436-2416

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1366433369
LBN Legal business name Allied Physicians Inc
DBA Doing business as Fort Wayne Neurosurgery
Authorized official Canavati, Isa S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Dec 7th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366433369 NPPES
Ohio MEDICAID 0515955
Ohio MEDICAID 100277310
Ohio MEDICAID 268567100
Ohio Other CC1548

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