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NORTHEAST INDIANA GENETIC COUNSELING CENTER INC
NPI 1881678860
Medical Genetics - Clinical Genetics (M.D.) in Fort Wayne, IN

Active since December 02, 2005
11143 PARKVIEW PLAZA DR, STE. 311, FORT WAYNE, IN 46845(260) 482-3886(260) 482-1910 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Indiana Genetic Counseling Center Inc NPPES

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

NORTHEAST INDIANA GENETIC COUNSELING CENTER INC (NPI 1881678860) is a healthcare organization registered as a clinical genetics (m.d.) in Fort Wayne, Indiana and active in the NPI registry since December 2005. The organization lists Patricia I Bader, Physician, as its authorized official.

NPPES Registry Identity

NPI1881678860
Entity TypeOrganization
Primary Taxonomy207SG0201X
Legal Business NameNORTHEAST INDIANA GENETIC COUNSELING CENTER INC
Location Address11143 PARKVIEW PLAZA DR, STE. 311Fort Wayne, IN 46845-1701
Mailing Address11143 Parkview Plaza Dr, Ste. 311Fort Wayne, IN 46845-1701 · (260) 482-3886 · Fax (260) 482-1910
Phone(260) 482-3886
Fax(260) 482-1910
Organization SubpartNo
Authorized OfficialPatricia I BaderPhysician · (260) 482-3886
Enumeration DateDecember 2, 2005
Last NPPES UpdateMay 27, 2009
✔ NPI 1881678860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in IN · 01022953
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedMedical Genetics · Clinical CytogeneticsTaxonomy 207SC0300X · License 01022953 (IN)
Also ListedPediatricsTaxonomy 208000000X · License 01022953 (IN)
11143 PARKVIEW PLAZA DR, Fort Wayne, IN 46845
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Other Identifiers 4

Medicaid100080650AIN
Medicaid100360290AIN
Medicare PIN134660AIN
Medicare UPIND94671IN

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 7

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

SUSAN K. PETERSON PA
Physician Assistant (Medical)
11143 PARKVIEW PLAZA DR, 100
FORT WAYNE, IN 46845
Allen County (260) 484-8830
AAKASH PATEL PHARMD
Pharmacist (Pharmacotherapy)
11143 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-4400
MS. KELSEY JOHNSON
Genetic Counselor, MS
11143 PARKVIEW PLAZA DR, SUITE 311
FORT WAYNE, IN 46845
Allen County (260) 482-3886
MRS. ANGELA MICHELLE BAUER N.P.
Nurse Practitioner (Family)
11143 PARKVIEW PLAZA DR, SUITE 311
FORT WAYNE, IN 46845
Allen County (260) 482-3886
MR. DANIEL R KONOW PA
Physician Assistant
11143 PARKVIEW PLAZA DR, SUITE 100
FORT WAYNE, IN 46845
Allen County (260) 484-8830
MINDY HARRIS FNP
Nurse Practitioner (Family)
11143 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 425-6330
MEGHAN LUNDY MS, LCGC
Genetic Counselor, MS
11143 PARKVIEW PLAZA DR, STE. 311
FORT WAYNE, IN 46845
Allen County (260) 482-3886

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 Genetic Counseling Center Inc's NPI number?

The NPI number for Northeast Indiana Genetic Counseling Center Inc is 1881678860. It was assigned to this organization in the NPPES registry on December 2, 2005.

Where is Northeast Indiana Genetic Counseling Center Inc located?

Northeast Indiana Genetic Counseling Center Inc is located at 11143 Parkview Plaza Dr Ste. 311, Fort Wayne, IN 46845. The listed phone number is (260) 482-3886.

What is Northeast Indiana Genetic Counseling Center Inc's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

When was this NPI record last updated?

The NPPES record for Northeast Indiana Genetic Counseling Center Inc was last updated on May 27, 2009. 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.