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REGEN MED OF INDIANA LLC
NPI 1104395680
General Practice in Fort Wayne, IN

Active since November 14, 2018
5931 STONEY CREEK DR, FORT WAYNE, IN 46825(260) 482-2206(260) 483-3964 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regen Med Of Indiana Llc NPPES

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

REGEN MED OF INDIANA LLC (NPI 1104395680) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since November 2018. The organization lists Tonna B. Chalfant, Manager, as its authorized official.

NPPES Registry Identity

NPI1104395680
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameREGEN MED OF INDIANA LLC
Location Address5931 STONEY CREEK DRFort Wayne, IN 46825-4401
Mailing Address5931 Stoney Creek DrFort Wayne, IN 46825-4401 · (260) 482-2206 · Fax (260) 483-3964
Phone(260) 482-2206
Fax(260) 483-3964
Organization SubpartNo
Authorized OfficialTonna B. ChalfantManager · (260) 482-2206
Enumeration DateNovember 14, 2018
✔ NPI 1104395680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5931 STONEY CREEK DR, Fort Wayne, IN 46825
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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

Other Providers at the Same Location NPPES

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

DAVID B. CHALFANT PC
Clinic/Center
5931 STONEY CREEK DR
FORT WAYNE, IN 46825
Allen County (260) 482-2206

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 Regen Med Of Indiana LLC's NPI number?

The NPI number for Regen Med Of Indiana LLC is 1104395680. It was assigned to this organization in the NPPES registry on November 14, 2018.

Where is Regen Med Of Indiana LLC located?

Regen Med Of Indiana LLC is located at 5931 Stoney Creek Dr, Fort Wayne, IN 46825. The listed phone number is (260) 482-2206.

What is Regen Med Of Indiana LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Regen Med Of Indiana LLC was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.