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

NPI Status: Active since August 13, 2010

Contact Information

306 E MAUMEE ST, STE. 304
ANGOLA, IN
ZIP 46703
Phone: (260) 436-8686
Fax: (260) 436-8585

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About FORT WAYNE ORTHOPEDICS, LLC

This page provides the complete NPI Profile along with additional information for Fort Wayne Orthopedics, Llc, a provider established in Angola, Indiana operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1104131259 assigned on August 2010. The practitioner's primary taxonomy code is 332B00000X with license number 50002482 (IN). The provider is registered as an organization and their NPI record was last updated 4 years ago. Fort Wayne Orthopedics, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Fort Wayne Orthopedics, Llc. The authorized official of this NPI record is Jerald L. Cooper Md (Physician/owner)

NPI
1104131259
Provider Legal Name
FORT WAYNE ORTHOPAEDICS, LLC
Other Organization Name
FORT WAYNE ORTHOPEDICS, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
306 E MAUMEE ST, STE. 304 ANGOLA, IN 46703
Location Phone
(260) 436-8686
Location Fax
(260) 436-8585
Mailing Address
PO BOX 2526 FORT WAYNE, IN 46801
Mailing Phone
(866) 413-9534
Mailing Fax
(260) 436-8585
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-13-2010
Last Update Date
01-07-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
50002482
License State
IN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

50002482 (IN)
2207XS0106XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Hand Surgery

50002482 (IN)
3207XS0117XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Orthopaedic Surgery of the Spine

50002482 (IN)
4207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

50002482 (IN)
5207XX0801XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Orthopaedic Trauma

50002482 (IN)
6213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

50002482 (IN)
7213ES0131XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot Surgery

50002482 (IN)
8363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

50002482 (IN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERALD L. COOPER MD

Authorized Official Title
PHYSICIAN/OWNER
Authorized Official Phone
(260) 436-8686

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0162610004OTHER (01)DME REGION B
0162610004OTHER (01)INDME PTAN
100210470MEDICAID (05)IN 
100210470AMEDICAID (05)IN 
300049590MEDICAID (05)IN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104131259, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 2 + 3 + 2 + 2 + 1 + 0 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104131259.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104131259, enumerated as an "organization" on August 13, 2010.

The provider is located at 306 E MAUMEE ST, STE. 304 ANGOLA, IN 46703 and the phone number is (260) 436-8686.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.