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FORT WAYNE ORTHOPEDICS, LLC
NPI 1255750352
Durable Medical Equipment & Medical Supplies in Fort Wayne, IN

Active since April 16, 2014CLIA 15D0889456 · Waiver
800 BROADWAY, STE 215, FORT WAYNE, IN 46802(260) 436-8686(260) 436-8585 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 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 1255750352) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Wayne, Indiana and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Jerald L. Cooper, President, as its authorized official.

NPPES Registry Identity

NPI1255750352
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFORT WAYNE ORTHOPAEDICS, LLC
Location Address800 BROADWAY, STE 215Fort Wayne, IN 46802-2149
Mailing AddressPo Box 2526Fort Wayne, IN 46801-2526 · (260) 436-8686 · Fax (260) 432-5075
Phone(260) 436-8686
Fax(260) 436-8585
Organization SubpartNo
Authorized OfficialJerald L. CooperPresident · (260) 436-8686
Enumeration DateApril 16, 2014
Last NPPES UpdateJanuary 27, 2015
✔ NPI 1255750352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ 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 · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 50002482 (IN)
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 50002482 (IN)
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · 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 & Ankle SurgeryTaxonomy 213ES0103X · License 50002482 (IN)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 50002482 (IN)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 50002482 (IN)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 50002482 (IN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 50002482 (IN)
800 BROADWAY, Fort Wayne, IN 46802
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Other Names 1

Doing Business AsFort Wayne Orthopedics, Llc

Other Identifiers 1

Medicare NSC0162610002IN

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

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 15D0889456

Fort Wayne Orthopaedics LLC · Fort Wayne, IN
Active · expires Sep 29, 2027
CLIA Number15D0889456
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorKevin A. Rahn
Laboratory Phone(260) 436-8686
Laboratory LocationFort Wayne Orthopaedics LLC7601 W Jefferson Blvd, Fort Wayne, IN 46804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

CHIK AMECHI M.D.
Obstetrics & Gynecology
800 BROADWAY, STE 315
FORT WAYNE, IN 46802
Allen County (260) 422-7427
DR. ANN MARGARET MOORE D.O.
Internal Medicine (Geriatric Medicine)
800 BROADWAY, SUITE 115
FORT WAYNE, IN 46802
Allen County (260) 425-3636
DR. SHASHI K AHUJA M.D.
Internal Medicine (Cardiovascular Disease)
800 BROADWAY, SUITE 300
FORT WAYNE, IN 46802
Allen County (260) 425-3133
PSYCHIATRIC SERVICES P C
Psychiatry & Neurology (Psychiatry)
800 BROADWAY, STE 208
FORT WAYNE, IN 46802
Allen County (260) 425-3204
SHASHI K AHUJA M.D.
Internal Medicine (Cardiovascular Disease)
800 BROADWAY, SUITE 300
FORT WAYNE, IN 46802
Allen County (260) 425-3133
BERYL L RANDOLPH,M.D., P.C.
Obstetrics & Gynecology
800 BROADWAY, SUITE 100
FORT WAYNE, IN 46802
Allen County (260) 425-3102
LINDA HAKE
Counselor (Mental Health)
800 BROADWAY
FORT WAYNE, IN 46802
Allen County (260) 425-3620
DIAN SULLIVAN LCSW
Social Worker
800 BROADWAY, SUITE 315
FORT WAYNE, IN 46802
Allen County (260) 489-6030

Frequently Asked Questions

What is FORT WAYNE ORTHOPAEDICS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1255750352, enumerated as an "organization" on April 16, 2014.

Where is the provider located?

The provider is located at 800 BROADWAY STE 215 FORT WAYNE, IN 46802 and the phone number is (260) 436-8686.

What is the provider's specialty?

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

What insurance does FORT WAYNE ORTHOPAEDICS, LLC accept?

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