1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Podiatrist
  6. NPI Profile

LINCOLN PEDIC CLINIC, INC.
NPI 1760486393
Podiatrist in Fort Wayne, IN

Active since June 10, 2005
12311 AUTUMN BREEZE DR, FORT WAYNE, IN 46845(260) 637-8414(260) 637-8152 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lincoln Pedic Clinic, Inc. NPPES

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

LINCOLN PEDIC CLINIC, INC. (NPI 1760486393) is a healthcare organization registered as a podiatrist in Fort Wayne, Indiana and active in the NPI registry since June 2005. The organization lists Janet Alyce Paunwar, President, as its authorized official.

NPPES Registry Identity

NPI1760486393
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameLINCOLN PEDIC CLINIC, INC.
Location Address12311 AUTUMN BREEZE DRFort Wayne, IN 46845-9111
Mailing Address12311 Autumn Breeze DrFort Wayne, IN 46845-9111 · (260) 637-8414 · Fax (260) 637-8152
Phone(260) 637-8414
Fax(260) 637-8152
Organization SubpartNo
Authorized OfficialJanet Alyce PaunwarPresident · (260) 637-8414
Enumeration DateJune 10, 2005
Last NPPES UpdateNovember 30, 2010
✔ NPI 1760486393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IN · 07000776A
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
12311 AUTUMN BREEZE DR, Fort Wayne, IN 46845
Open in Google Maps ↗

Other Identifiers 4

OtherC31367IN · Palmetto Gba
Medicare ID-Type Unspecified132140IN
Medicaid100210380AIN
Other000000235683IN · Anthem Blue Cross

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

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 Lincoln Pedic Clinic, Inc.'s NPI number?

The NPI number for Lincoln Pedic Clinic, Inc. is 1760486393. It was assigned to this organization in the NPPES registry on June 10, 2005.

Where is Lincoln Pedic Clinic, Inc. located?

Lincoln Pedic Clinic, Inc. is located at 12311 Autumn Breeze Dr, Fort Wayne, IN 46845. The listed phone number is (260) 637-8414.

What is Lincoln Pedic Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Lincoln Pedic Clinic, Inc. was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.