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HOLTSCLAW MEDICAL CENTRE, LLC
NPI 1235146812
Family Medicine in Fort Wayne, IN

Active since August 03, 2006
4666 W JEFFERSON BLVD, SUITE 140, FORT WAYNE, IN 46804(260) 432-0100 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holtsclaw Medical Centre, Llc NPPES

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

HOLTSCLAW MEDICAL CENTRE, LLC (NPI 1235146812) is a healthcare organization registered as a family medicine in Fort Wayne, Indiana and active in the NPI registry since August 2006. The organization lists Lisa Michelle Holtsclaw, Member, as its authorized official.

NPPES Registry Identity

NPI1235146812
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOLTSCLAW MEDICAL CENTRE, LLC
Location Address4666 W JEFFERSON BLVD, SUITE 140Fort Wayne, IN 46804-6892
Mailing Address4666 W Jefferson Blvd, Suite 140Fort Wayne, IN 46804-6892 · (260) 432-0100
Phone(260) 432-0100
Organization SubpartNo
Authorized OfficialLisa Michelle HoltsclawMember · (260) 432-0100
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235146812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02001568A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4666 W JEFFERSON BLVD, Fort Wayne, IN 46804
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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

Other Providers at the Same Location NPPES 5

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

CATHY LOU HAKES NP
Nurse Practitioner
4666 W JEFFERSON BLVD, SUITE 140
FORT WAYNE, IN 46804
Allen County (260) 373-9280
HANGER PROSTHETICS & ORTHOTICS INC
Prosthetic/Orthotic Supplier
4666 W JEFFERSON BLVD, STE 140
FORT WAYNE, IN 46804
Allen County (260) 432-9190
DR. DOLORITA ROSE SWEENEY D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4666 W JEFFERSON BLVD, SUITE 144
FORT WAYNE, IN 46804
Allen County (260) 407-8000
SARAH D HECK FNP
Nurse Practitioner (Primary Care)
4666 W JEFFERSON BLVD, SUITE 140
FORT WAYNE, IN 46804
Allen County (260) 432-0100
CHATTER BUG SPEECH &LANGUAGE THERAPY LLC
Speech-Language Pathologist
4666 W JEFFERSON BLVD, STE 144
FORT WAYNE, IN 46804
Allen County (260) 515-9240

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 Holtsclaw Medical Centre, LLC's NPI number?

The NPI number for Holtsclaw Medical Centre, LLC is 1235146812. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Holtsclaw Medical Centre, LLC located?

Holtsclaw Medical Centre, LLC is located at 4666 W Jefferson Blvd Suite 140, Fort Wayne, IN 46804. The listed phone number is (260) 432-0100.

What is Holtsclaw Medical Centre, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Holtsclaw Medical Centre, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.