NORTHEAST OB-GYN, LLC
NPI 1811941024
Clinic/Center - Medical Specialty in Fort Wayne, IN

Q: What is Northeast Obstetrics & Gynecology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since May 20, 2006

11123 PARKVIEW PLAZA DR, SUITE 101, FORT WAYNE, IN 46845(260) 422-7455(260) 424-9356 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northeast Ob-gyn, Llc NPPES

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

NORTHEAST OB-GYN, LLC (NPI 1811941024) is a healthcare organization registered as a medical specialty in Fort Wayne, Indiana and active in the NPI registry since May 2006. The organization lists Tamara A Furniss, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1811941024

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameNORTHEAST OBSTETRICS & GYNECOLOGY, LLC

Location Address11123 PARKVIEW PLAZA DR, SUITE 101Fort Wayne, IN 46845-1707

Mailing Address11123 Parkview Plaza Dr, Suite 101Fort Wayne, IN 46845-1707 · (260) 422-7455 · Fax (260) 424-9356

Phone(260) 422-7455

Fax(260) 424-9356

Organization SubpartNo

Authorized OfficialTamara A FurnissBusiness Manager · (260) 426-7755

Enumeration DateMay 20, 2006

Last NPPES UpdateJune 24, 2008

✔ NPI 1811941024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in IN · 50001834A

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

11123 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

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Other Names 1

Doing Business AsNortheast Ob-gyn, Llc

Other Identifiers 2

Medicaid100055270AIN

Medicare PIN219880IN

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.

CARA E WALKER APN

Nurse Practitioner (Women's Health)

11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845

Allen County (260) 422-7455

AMANDA RINGWOOD

Nurse Practitioner

11123 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Allen County (260) 373-5830

STARR NEWMAN P.A.

Physician Assistant

11123 PARKVIEW PLAZA DR, # 102
FORT WAYNE, IN 46845

Allen County (260) 483-0688

WIELAND & ASSOCIATES, INC.

Psychologist

11123 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 46845

Allen County (260) 672-6510

KELSEA KAY LEROSE NP

Nurse Practitioner

11123 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Allen County (260) 425-6650

FORT WAYNE CARDIOVASCULAR ASSOCIATES

Thoracic Surgery (Cardiothoracic Vascular Surgery)

11123 PARKVIEW PLAZA DR, SUITE 202
FORT WAYNE, IN 46845

Allen County (260) 483-6448

JOHN E DRAKE D.O.

Obstetrics & Gynecology

11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845

Allen County (260) 422-7455

MRS. NANCY SUE HINTON NP

Nurse Practitioner (Adult Health)

11123 PARKVIEW PLAZA DR, SUITE 206
FORT WAYNE, IN 46845

Allen County (260) 266-2020

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 Obstetrics & Gynecology, LLC's NPI number?

The NPI number for Northeast Obstetrics & Gynecology, LLC is 1811941024. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Northeast Ob-Gyn, LLC.

Where is Northeast Obstetrics & Gynecology, LLC located?

Northeast Obstetrics & Gynecology, LLC is located at 11123 Parkview Plaza Dr Suite 101, Fort Wayne, IN 46845. The listed phone number is (260) 422-7455.

What is Northeast Obstetrics & Gynecology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Northeast Obstetrics & Gynecology, LLC was last updated on June 24, 2008. 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.