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FORT WAYNE ORTHOPEDICS, LLC
NPI 1104131259
Durable Medical Equipment & Medical Supplies in Angola, IN

Active since August 13, 2010
306 E MAUMEE ST, STE. 304, ANGOLA, IN 46703(260) 436-8686(260) 436-8585 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Wayne Orthopedics, Llc NPPES

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

FORT WAYNE ORTHOPEDICS, LLC (NPI 1104131259) is a healthcare organization registered as a durable medical equipment & medical supplies in Angola, Indiana and active in the NPI registry since August 2010. The organization lists Jerald L. Cooper, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1104131259
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFORT WAYNE ORTHOPAEDICS, LLC
Location Address306 E MAUMEE ST, STE. 304Angola, IN 46703-2035
Mailing AddressPo Box 2526Fort Wayne, IN 46801-2526 · (866) 413-9534 · Fax (260) 407-4428
Phone(260) 436-8686
Fax(260) 436-8585
Organization SubpartNo
Authorized OfficialJerald L. CooperPhysician/owner · (260) 436-8686
Enumeration DateAugust 13, 2010
Last NPPES UpdateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
✔ NPI 1104131259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 50002482 (IN)
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 50002482 (IN)
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 50002482 (IN)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 50002482 (IN)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 50002482 (IN)
Also ListedPodiatristTaxonomy 213E00000X · License 50002482 (IN)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 50002482 (IN)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 50002482 (IN)
306 E MAUMEE ST, STE. 304, Angola, IN 46703
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Other Names 1

Doing Business AsFort Wayne Orthopedics, Llc

Other Identifiers 5

Other0162610004Dme Region B
Other0162610004IN · Dme Ptan
Medicaid100210470IN
Medicaid100210470AIN
Medicaid300049590IN

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

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 Fort Wayne Orthopaedics, LLC's NPI number?

The NPI number for Fort Wayne Orthopaedics, LLC is 1104131259. It was assigned to this organization in the NPPES registry on August 13, 2010. The provider is doing business as Fort Wayne Orthopedics, LLC.

Where is Fort Wayne Orthopaedics, LLC located?

Fort Wayne Orthopaedics, LLC is located at 306 E Maumee St, Ste. 304, Angola, IN 46703. The listed phone number is (260) 436-8686.

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.

When was this NPI record last updated?

The NPPES record for Fort Wayne Orthopaedics, LLC was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.