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NOVA PHYSICIAN GROUP PLLC
NPI 1528815396
Clinic/Center - Primary Care in Fort Wayne, IN

Active since May 01, 2024
436 E WASHINGTON BLVD, FORT WAYNE, IN 46802(260) 298-6240(206) 474-3157 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nova Physician Group Pllc NPPES

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

NOVA PHYSICIAN GROUP PLLC (NPI 1528815396) is a healthcare organization registered as a primary care in Fort Wayne, Indiana and active in the NPI registry since May 2024. The organization lists Terrence Morton, Sr. Medical Director, as its authorized official.

NPPES Registry Identity

NPI1528815396
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNOVA PHYSICIAN GROUP PLLC
Location Address436 E WASHINGTON BLVDFort Wayne, IN 46802-3210
Mailing Address30 W Monroe St Ste 1200Chicago, IL 60603-2420 · (773) 352-1515 · Fax (312) 929-0373
Phone(260) 298-6240
Fax(206) 474-3157
Organization SubpartNo
Authorized OfficialTerrence MortonSr. Medical Director · (773) 733-9730
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1528815396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
436 E WASHINGTON BLVD, Fort Wayne, IN 46802
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Other Providers at the Same Location NPPES 8

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

KEEGAN WILLIAMS
Social Worker (Clinical)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 200-5347
LISA MICHELLE HOLTSCLAW D.O.
Family Medicine
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
MARRISA CULVER APN
Nurse Practitioner (Family)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
DR. CYNTHIA GANNON MD
Family Medicine
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 264-7711
RENEE C KUESS PHARMD
Pharmacist (Ambulatory Care)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 200-5347
BAMBI L MEYER LCSW, MSW
Social Worker (Clinical)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
AIMEE BELL NP-C
Nurse Practitioner (Family)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
JULIE MARIA STARK MD
Family Medicine
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111

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 Nova Physician Group PLLC's NPI number?

The NPI number for Nova Physician Group PLLC is 1528815396. It was assigned to this organization in the NPPES registry on May 1, 2024.

Where is Nova Physician Group PLLC located?

Nova Physician Group PLLC is located at 436 E Washington Blvd, Fort Wayne, IN 46802. The listed phone number is (260) 298-6240.

What is Nova Physician Group PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Nova Physician Group PLLC was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.