GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC – NPI #1295141380
Obstetrics & Gynecology
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC is a provider located in FORT WAYNE, IN. NPPES has assigned the NPI number 1295141380 to GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC on July 09, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology
The NPI profile was previously updated about 10 years ago on Jun 21, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC below.
NPI Profile for
GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC
(about 12 years ago)
SUITE 250
FORT WAYNE, IN 46805-4788 Phone: (260) 437-4789 Fax:
ROANOKE, IN 46783-0307 Phone: (260) 437-4789 Fax:
PRESIDENT/OWNER
Phone: (260) 437-4789
Identifiers for GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | IN | 201236690 | |
| MEDICAID | OH | 0107737 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207VX0201X - Obstetrics & Gynecology / Gynecologic Oncology (Primary) |
IN |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.