FORT WAYNE ORTHOPEDICS, LLC
NPI 1033320510
Durable Medical Equipment & Medical Supplies in Fort Wayne, IN

Q: What is Fort Wayne Orthopaedics, LLC's NPI number?

The NPI number for Fort Wayne Orthopaedics, LLC is 1033320510. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is doing business as Fort Wayne Orthopedics, LLC.

Q: What is Fort Wayne Orthopaedics, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since May 25, 2007CLIA 15D0889456 · Waiver

7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-8686(260) 436-8585 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fort Wayne Orthopedics, Llc NPPES

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

FORT WAYNE ORTHOPEDICS, LLC (NPI 1033320510) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Wayne, Indiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Jerald L. Cooper, M.d./president, as its authorized official.

NPPES Registry Identity

NPI1033320510

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameFORT WAYNE ORTHOPAEDICS, LLC

Location Address7601 W JEFFERSON BLVDFort Wayne, IN 46804-4133

Mailing AddressPo Box 2526Fort Wayne, IN 46801-2526 · (260) 436-8686 · Fax (260) 432-5075

Phone(260) 436-8686

Fax(260) 436-8585

Organization SubpartNo

Authorized OfficialJerald L. CooperM.d./president · (260) 436-8686

Enumeration DateMay 25, 2007

Last NPPES UpdateJuly 20, 2016

✔ NPI 1033320510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in IN · 50002482

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

7601 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Other Names 1

Doing Business AsFort Wayne Orthopedics, Llc

Other Identifiers 1

Other0162610001IN · Dme Regionb

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0889456

Fort Wayne Orthopaedics LLC · Fort Wayne, IN

Active · expires Sep 29, 2027

CLIA Number15D0889456

Laboratory TypePhysician Office

Certificate Effective DateSeptember 30, 2025

Certificate Expiration DateSeptember 29, 2027

Laboratory DirectorKevin A. Rahn

Laboratory Phone(260) 436-8686

Laboratory LocationFort Wayne Orthopaedics LLC7601 W Jefferson Blvd, Fort Wayne, IN 46804

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

GAGE MANNING CAUDELL D.P.M.

Podiatrist (Foot & Ankle Surgery)