NORTHEAST INDIANA PEDIATRIC SPECIALISTS, PC
NPI 1629267323
Pediatrics - Pediatric Infectious Diseases in Fort Wayne, IN

Active since October 18, 2007
11123 PARKVIEW PLAZA DR, STE # 102, FORT WAYNE, IN 46845(260) 483-0688(260) 483-0798 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Indiana Pediatric Specialists, Pc NPPES

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

NORTHEAST INDIANA PEDIATRIC SPECIALISTS, PC (NPI 1629267323) is a healthcare organization registered as a pediatric infectious diseases in Fort Wayne, Indiana and active in the NPI registry since October 2007. The organization lists Sheryl L. Anderson, Manager, as its authorized official.

NPPES Registry Identity

NPI1629267323
Entity TypeOrganization
Primary Taxonomy2080P0208X
Legal Business NameNORTHEAST INDIANA PEDIATRIC SPECIALISTS, PC
Location Address11123 PARKVIEW PLAZA DR, STE # 102Fort Wayne, IN 46845-1707
Mailing AddressPo Box 5191Fort Wayne, IN 46895-5191 · (260) 483-0688 · Fax (260) 483-0798
Fax(260) 483-0798
Organization SubpartNo
Authorized OfficialSheryl L. AndersonManager · (260) 483-0688
Enumeration DateOctober 18, 2007
NPI 1629267323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License Licensed in IN · 50004150A
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
11123 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Other Identifiers 1

Medicare PIN184500IN

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 20

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

Nurse Practitioner (Women's Health)
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Nurse Practitioner
11123 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Physician Assistant
11123 PARKVIEW PLAZA DR, # 102
FORT WAYNE, IN 46845
Psychologist
11123 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 46845
Nurse Practitioner
11123 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11123 PARKVIEW PLAZA DR, SUITE 202
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Nurse Practitioner (Adult Health)
11123 PARKVIEW PLAZA DR, SUITE 206
FORT WAYNE, IN 46845

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 Pediatric Specialists, PC's NPI number?

The NPI number for Northeast Indiana Pediatric Specialists, PC is 1629267323. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is Northeast Indiana Pediatric Specialists, PC located?

Northeast Indiana Pediatric Specialists, PC is located at 11123 Parkview Plaza Dr Ste # 102, Fort Wayne, IN 46845. The listed phone number is (260) 483-0688.

What is Northeast Indiana Pediatric Specialists, PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

When was this NPI record last updated?

The NPPES record for Northeast Indiana Pediatric Specialists, PC was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.