Fort Wayne Neurology

LBN: Allied Physicians Inc
Fort Wayne Neurology is an health care organization with primary practice located at 2510 E Dupont Rd Ste 226 , Fort Wayne IN 46825-1603. The organization recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Vascular Neurology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Allied Physicians Inc can be contacted via phone (260) 460-3100, or through Canavati, Isa S via phone (260) 436-2416.

Contact Information

Primary practice address
2510 E Dupont Rd Ste 226 Fort Wayne IN 46825-1603
Phone: (260) 460-3100
Fax: (260) 460-3130
Website:
Map and Directions
Authorized official contact:
Name: Canavati, Isa S Doctor of Medicine (MD)
Phone: (260) 436-2416

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1609867605
LBN Legal business name Allied Physicians Inc
DBA Doing business as Fort Wayne Neurology
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 1609867605 NPPES
Ohio MEDICAID 0515955
Ohio MEDICAID 100277310
Ohio Other CC1549

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