FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC
NPI 1376533158
Internal Medicine - Hematology & Oncology in Fort Wayne, IN

Q: What is Fort Wayne Medical Oncology And Hematology, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since October 24, 2005

2514 E DUPONT RD STE 100, FORT WAYNE, IN 46825(260) 484-8830(260) 483-1911 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2023, Jun 28, 2021, Aug 2, 2019 (3 updates tracked since 2019).

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About Fort Wayne Medical Oncology And Hematology, Inc NPPES

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

FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC (NPI 1376533158) is a healthcare organization registered as a hematology & oncology in Fort Wayne, Indiana and active in the NPI registry since October 2005. The organization lists Bethany Gisslen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376533158

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameFORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC

Location Address2514 E DUPONT RD STE 100Fort Wayne, IN 46825-1619

Mailing Address6610 Mutual DrFort Wayne, IN 46825-4236 · (260) 484-8830 · Fax (260) 483-1911

Phone(260) 484-8830

Fax(260) 483-1911

Organization SubpartNo

Authorized OfficialBethany GisslenCfo · (260) 484-8830

Enumeration DateOctober 24, 2005

Last NPPES UpdateDecember 4, 20233 updates tracked since enumeration

NPPES CertifiedDecember 4, 2023

✔ NPI 1376533158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2514 E DUPONT RD STE 100, Fort Wayne, IN 46825

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Other Identifiers 2

OtherCA4536IN · Medicare Rr

Medicaid100053330AIN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 17

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

DR. SCOTT T GOODRICH M.D.

Obstetrics & Gynecology (Gynecologic Oncology)