FORT WAYNE PEDIATRICS, PC – NPI #1063595536
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

FORT WAYNE PEDIATRICS, PC is a provider located in FORT WAYNE, IN. NPPES has assigned the NPI number 1063595536 to FORT WAYNE PEDIATRICS, PC on October 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Mar 31, 2023. 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 FORT WAYNE PEDIATRICS, PC below.

NPI Profile for
FORT WAYNE PEDIATRICS, PC

NPI Number
1063595536
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORT WAYNE PEDIATRICS, PC
Primary location
2810 DUPONT COMMERCE CT
FORT WAYNE, IN 46825-2393
Phone: (260) 490-7337 Fax: (260) 489-8937
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMY FUCHS
PRESIDENT
Phone: (260) 490-7337
Updated
Certification Date
Mar 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FORT WAYNE PEDIATRICS, PC

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.

DescriptionIssuerStateIdentifier
medicaidIN100080960
Taxonomy Code(s)

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
208000000X
- Pediatrics (Primary)

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.