NORTHEAST INDIANA GENETICS, LLC
NPI 1356764419
Medical Genetics - Clinical Genetics (M.D.) in Fort Wayne, IN

Active since January 27, 2014
7230 ENGLE RD, FORT WAYNE, IN 46804(260) 482-3886(260) 482-1910 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Indiana Genetics, Llc NPPES

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

NORTHEAST INDIANA GENETICS, LLC (NPI 1356764419) is a healthcare organization registered as a clinical genetics (m.d.) in Fort Wayne, Indiana and active in the NPI registry since January 2014. The organization lists Joseph Bader, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356764419
Entity TypeOrganization
Primary Taxonomy207SG0201X
Legal Business NameNORTHEAST INDIANA GENETICS, LLC
Location Address7230 ENGLE RDFort Wayne, IN 46804-2209
Mailing Address7230 Engle RdFort Wayne, IN 46804-2209 · (260) 482-3886 · Fax (260) 482-1910
Fax(260) 482-1910
Organization SubpartNo
Authorized OfficialJoseph BaderOffice Manager · (260) 482-3886
Enumeration DateJanuary 27, 2014
Last NPPES UpdateJanuary 31, 2018
NPI 1356764419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

7230 ENGLE RD, Fort Wayne, IN 46804

Other Identifiers 1

Other01022953AIN · Physician Medical Licensing

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 MULTIPLE 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.

Psychologist (Clinical)
7230 ENGLE RD, STE 304
FORT WAYNE, IN 46804
Family Medicine
7230 ENGLE RD
FORT WAYNE, IN 46804
Dentist (Oral and Maxillofacial Surgery)
7230 ENGLE RD, SUITE 301
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
7230 ENGLE RD, SUITE 210
FORT WAYNE, IN 46804
Family Medicine
7230 ENGLE RD
FORT WAYNE, IN 46804

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 Northeast Indiana Genetics, LLC's NPI number?

The NPI number for Northeast Indiana Genetics, LLC is 1356764419. It was assigned to this organization in the NPPES registry on January 27, 2014.

Where is Northeast Indiana Genetics, LLC located?

Northeast Indiana Genetics, LLC is located at 7230 Engle Rd, Fort Wayne, IN 46804. The listed phone number is (260) 482-3886.

What is Northeast Indiana Genetics, LLC's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

When was this NPI record last updated?

The NPPES record for Northeast Indiana Genetics, LLC was last updated on January 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.