Fort Wayne Cardiology Corporation
LBN: Fort Wayne Cardiology Corporation
Fort Wayne Cardiology Corporation is an health care organization with primary practice located at 1819 Carew St , Fort Wayne IN 46805-4705. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Fort Wayne Cardiology Corporation can be contacted via phone (260) 481-4700, or through Dusman, Raymond via phone (260) 481-4700.
Contact Information
Primary practice address
1819 Carew St
Fort Wayne IN 46805-4705
Phone: (260) 481-4700
Fax: (260) 481-4808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X |
Profile Details
| NPI number | 1609852292 |
|---|---|
| LBN Legal business name | Fort Wayne Cardiology Corporation |
| DBA Doing business as | |
| Authorized official | Dusman, Raymond Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Oct 7th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609852292 | NPPES |
| Indiana | Other | CK6996 | RR MEDICARE |
| Indiana | MEDICAID | 200425420A | RR MEDICARE |
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