ST. VINCENT PEDIATRIC SUBSPECIALTIES
NPI 1023203239
Pediatrics - Neonatal-Perinatal Medicine in Fort Wayne, IN

Q: What is St. Vincent Hospital And Health Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since September 11, 2007

2200 RANDALLIA DR, FORT WAYNE, IN 46805(800) 727-8439 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About St. Vincent Pediatric Subspecialties NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. VINCENT PEDIATRIC SUBSPECIALTIES (NPI 1023203239) is a healthcare organization registered as a neonatal-perinatal medicine in Fort Wayne, Indiana and active in the NPI registry since September 2007. The organization lists D. Bruce Haga, Vice President, as its authorized official.

NPPES Registry Identity

NPI1023203239

Entity TypeOrganization

Primary Taxonomy2080N0001X

Legal Business NameST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.

Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638

Mailing Address10330 N Meridian St, Suite 201Indianapolis, IN 46290-1024

Phone(800) 727-8439

Organization SubpartYes

Authorized OfficialD. Bruce HagaVice President · (317) 583-3087

Enumeration DateSeptember 11, 2007

Last NPPES UpdateMay 1, 2008

✔ NPI 1023203239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X

Also ListedPediatrics · Pediatric RheumatologyTaxonomy 2080P0216X

2200 RANDALLIA DR, Fort Wayne, IN 46805

Open in Google Maps ↗

Other Names 1

Doing Business AsSt. Vincent Pediatric Subspecialties

Other Identifiers 2

Medicaid200505130WIN

Medicare PIN223110IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLIKA GYAWALI MD

Internal Medicine