Fort Wayne Orthopedics, Llc

LBN: Fort Wayne Orthopedics, Llc
Fort Wayne Orthopedics, Llc is an health care organization with primary practice located at 315 W Old Key Dr Suite 140, Peru IN 46970-9058. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Fort Wayne Orthopedics, Llc can be contacted via phone (260) 436-8686, or through Cooper, Jerald L. via phone (260) 436-8686.

Contact Information

Primary practice address
315 W Old Key Dr Suite 140 Peru IN 46970-9058
Phone: (260) 436-8686
Fax: (260) 459-0036
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Jerald L. Doctor of Medicine (MD)
Phone: (260) 436-8686

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 50002482 Indiana
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 50002482 Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 50002482 Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 50002482 Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 50002482 Indiana
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 50002482 Indiana
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 50002482 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50002482 Indiana

Profile Details

NPI number 1043525009
LBN Legal business name Fort Wayne Orthopedics, Llc
DBA Doing business as
Authorized official Cooper, Jerald L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2010
Last updated Nov 27th, 2013 - about 11 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 1043525009 NPPES
Indiana MEDICAID 100210470
Indiana Other 0162610011
Indiana MEDICAID 100210470A

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