Obstetrics And Gynecology Associates Of Fort Wayne Pc

LBN: Obstetrics And Gynecology Associates Of Fort Wayne Pc
Obstetrics And Gynecology Associates Of Fort Wayne Pc is an health care organization with primary practice located at 7802 W Jefferson Blvd , Fort Wayne IN 46804-4138. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Obstetrics And Gynecology Associates Of Fort Wayne Pc can be contacted via phone (260) 459-2113, or through Reddy, Jyothirmai K via phone (260) 459-2113.

Contact Information

Primary practice address
7802 W Jefferson Blvd Fort Wayne IN 46804-4138
Fax: (260) 459-6625
Website:
Authorized official contact:
Name: Reddy, Jyothirmai K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1598806937
LBN Legal business name Obstetrics And Gynecology Associates Of Fort Wayne Pc
DBA Doing business as
Authorized official Reddy, Jyothirmai K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated May 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598806937 NPPES
Indiana Other 000000091644 ANTHEM PIN
Indiana MEDICAID 100082350A ANTHEM PIN
Indiana Other 1734 ANTHEM PIN
Indiana MEDICAID 200141300A ANTHEM PIN

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