BAE SYSTEMS FORT WAYNE IN
NPI 1033700158
Clinic/Center - Occupational Medicine in Fort Wayne, IN

Active since February 01, 2021
4250 AIRPORT EXPY, FORT WAYNE, IN 46809(260) 434-5053(260) 434-5413 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2022, Feb 1, 2021 (2 updates tracked since 2021).

About Bae Systems Fort Wayne In NPPES

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

BAE SYSTEMS FORT WAYNE IN (NPI 1033700158) is a healthcare organization registered as an occupational medicine in Fort Wayne, Indiana and active in the NPI registry since February 2021. The organization lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1033700158
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL PC
Location Address4250 AIRPORT EXPYFort Wayne, IN 46809-9643
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(260) 434-5413
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (615) 468-6270
Enumeration DateFebruary 1, 2021
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
NPI 1033700158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
4250 AIRPORT EXPY, Fort Wayne, IN 46809

Other Names 1

Doing Business AsBae Systems Fort Wayne In

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Indiana Medical PC's NPI number?

The NPI number for Premise Health Of Indiana Medical PC is 1033700158. It was assigned to this organization in the NPPES registry on February 1, 2021. The provider is doing business as Bae Systems Fort Wayne In.

Where is Premise Health Of Indiana Medical PC located?

Premise Health Of Indiana Medical PC is located at 4250 Airport Expy, Fort Wayne, IN 46809. The listed phone number is (260) 434-5053.

What is Premise Health Of Indiana Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

When was this NPI record last updated?

The NPPES record for Premise Health Of Indiana Medical PC was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.