Pediatric Associates Inc

LBN: Pediatric Associates Inc
Pediatric Associates Inc is an health care organization with primary practice located at 7910 W Jefferson Blvd Ste 201, Fort Wayne IN 46804-4159. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Associates Inc can be contacted via phone (260) 436-3789, or through Rusk, David A via phone (260) 436-3789.

Contact Information

Primary practice address
7910 W Jefferson Blvd Ste 201 Fort Wayne IN 46804-4159
Phone: (260) 436-3789
Fax: (260) 436-2703
Website:
Map and Directions
Authorized official contact:
Name: Rusk, David A
Phone: (260) 436-3789

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01025325A Indiana

Profile Details

NPI number 1659375079
LBN Legal business name Pediatric Associates Inc
DBA Doing business as
Authorized official Rusk, David A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Apr 10th, 2024 - about 7 months 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 1659375079 NPPES
Indiana MEDICAID 100049720A

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