1. Home
  2. Directory
  3. Ohio
  4. Hicksville
  5. Internal Medicine
  6. NPI Profile

FORT WAYNE CARDIOLOGY CORPORATION
NPI 1730165242
Internal Medicine - Cardiovascular Disease in Hicksville, OH

Active since December 16, 2005
208 COLUMBUS ST, HICKSVILLE, OH 43526(260) 481-4700(260) 481-4808 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fort Wayne Cardiology Corporation NPPES

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

FORT WAYNE CARDIOLOGY CORPORATION (NPI 1730165242) is a healthcare organization registered as a cardiovascular disease in Hicksville, Ohio and active in the NPI registry since December 2005. The organization lists Polly Baloski, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1730165242
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameFORT WAYNE CARDIOLOGY CORPORATION
Location Address208 COLUMBUS STHicksville, OH 43526
Mailing AddressPo Box 11829Fort Wayne, IN 46861-1829 · (260) 481-4700 · Fax (260) 481-4808
Phone(260) 481-4700
Fax(260) 481-4808
Organization SubpartYes
Authorized OfficialPolly BaloskiBilling Manager · (260) 481-4700
Enumeration DateDecember 16, 2005
Last NPPES UpdateOctober 7, 2008
✔ NPI 1730165242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
208 COLUMBUS ST, Hicksville, OH 43526
Open in Google Maps ↗

Other Identifiers 2

Medicare PINFO9331211OH
Medicaid200425420LIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

JULANNE MARIE LUDERMAN RD, LD
Dietitian, Registered
208 COLUMBUS ST
HICKSVILLE, OH 43526
Defiance County (419) 542-6692
COMMUNITY MEMORIAL HOSPITAL
General Acute Care Hospital (Critical Access)
208 COLUMBUS ST
HICKSVILLE, OH 43526
Defiance County (419) 542-5564
COMMUNITY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
208 COLUMBUS ST
HICKSVILLE, OH 43526
Defiance County (419) 542-6692
SAMANTHA JO KIMPEL
Massage Therapist
208 COLUMBUS ST
HICKSVILLE, OH 43526
Defiance County (419) 542-5669
DEKALB MEMORIAL HOSPITAL, INC
Otolaryngology
208 COLUMBUS ST
HICKSVILLE, OH 43526
Defiance County (419) 542-6692
CORY T HAMMOND PA
Physician Assistant
208 COLUMBUS ST
HICKSVILLE, OH 43526
Defiance County (419) 542-6692
MRS. MICHELLE L. PRICE RD, LD, CDE, IBCLC
Dietitian, Registered
208 COLUMBUS ST
HICKSVILLE, OH 43526
Defiance County (419) 542-6692
DR. MATTHEW C GROTHAUS M.D.
Orthopaedic Surgery
208 COLUMBUS ST
HICKSVILLE, OH 43526
Defiance County (419) 542-5669

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 Fort Wayne Cardiology Corporation's NPI number?

The NPI number for Fort Wayne Cardiology Corporation is 1730165242. It was assigned to this organization in the NPPES registry on December 16, 2005.

Where is Fort Wayne Cardiology Corporation located?

Fort Wayne Cardiology Corporation is located at 208 Columbus St, Hicksville, OH 43526. The listed phone number is (260) 481-4700.

What is Fort Wayne Cardiology Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Fort Wayne Cardiology Corporation was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.