FORT WAYNE PEDIATRICS, PC - NPI 1063595536 - Pediatrics in Fort Wayne, IN

Q: What is Fort Wayne Pediatrics, PC's NPI number?

The NPI number for Fort Wayne Pediatrics, PC is 1063595536. It was assigned to this organization in the NPPES registry on October 20, 2006.

Q: What is Fort Wayne Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Fort Wayne Pediatrics, Pc NPPES

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

FORT WAYNE PEDIATRICS, PC (NPI 1063595536) is a healthcare organization registered as a pediatrics in Fort Wayne, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Amy L Fuchs, President, as its authorized official.

NPPES Registry Identity

NPI1063595536

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameFORT WAYNE PEDIATRICS, PC

Location Address2810 DUPONT COMMERCE CTFort Wayne, IN 46825-2393

Mailing Address2810 Dupont Commerce CtFort Wayne, IN 46825-2393 · (260) 490-7337 · Fax (260) 489-8937

Phone(260) 490-7337

Fax(260) 489-8937

Organization SubpartNo

Authorized OfficialAmy L FuchsPresident · (260) 490-7337

Enumeration DateOctober 20, 2006

Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration

NPPES CertifiedMarch 31, 2023

✔ NPI 1063595536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

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.

2810 DUPONT COMMERCE CT, Fort Wayne, IN 46825

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Other Identifiers 1

Medicaid100080960IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 15D0678173

Fort Wayne Pediatrics Lab · Fort Wayne, IN

Active · expires Jan 2, 2027

CLIA Number15D0678173

Laboratory TypePhysician Office

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorJames E. Bollier

Laboratory Phone(260) 490-7337

Laboratory LocationFort Wayne Pediatrics Lab2810 Dupont Commerce Ct, Fort Wayne, IN 46825

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 15

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

MRS. LINDSAY M LIGLER MD

Pediatrics