INNOVATIVE PROFESSIONAL SERVICE LLC
NPI 1679836910
General Practice in Fort Wayne, IN

Q: What is Innovative Professional Service LLC's NPI number?

The NPI number for Innovative Professional Service LLC is 1679836910. It was assigned to this organization in the NPPES registry on June 21, 2012.

Q: What is Innovative Professional Service LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 21, 2012

3464 STELLHORN RD, FORT WAYNE, IN 46815(260) 432-6508(260) 432-6586 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Innovative Professional Service Llc NPPES

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

INNOVATIVE PROFESSIONAL SERVICE LLC (NPI 1679836910) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since June 2012. The organization lists Terry Yeiter, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679836910

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameINNOVATIVE PROFESSIONAL SERVICE LLC

Location Address3464 STELLHORN RDFort Wayne, IN 46815-4630

Mailing Address3464 Stellhorn RdFort Wayne, IN 46815-4630 · (260) 432-6508 · Fax (260) 432-6586

Phone(260) 432-6508

Fax(260) 432-6586

Organization SubpartNo

Authorized OfficialTerry YeiterOffice Manager · (260) 432-6508

Enumeration DateJune 21, 2012

✔ NPI 1679836910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 01025672

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3464 STELLHORN RD, Fort Wayne, IN 46815

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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 2

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

FRESH START RECOVERY GROUP LLC

Family Medicine (Addiction Medicine)

3464 STELLHORN RD
FORT WAYNE, IN 46815

Allen County (260) 402-9145

STELLHORN WELLNESS, LLC

Family Medicine (Addiction Medicine)

3464 STELLHORN RD
FORT WAYNE, IN 46815

Allen County (260) 432-6508

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 Innovative Professional Service LLC's NPI number?

The NPI number for Innovative Professional Service LLC is 1679836910. It was assigned to this organization in the NPPES registry on June 21, 2012.

Where is Innovative Professional Service LLC located?

Innovative Professional Service LLC is located at 3464 Stellhorn Rd, Fort Wayne, IN 46815. The listed phone number is (260) 432-6508.

What is Innovative Professional Service LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Innovative Professional Service LLC was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.