Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUWAIYRRIYAH MOHAMED OMAR PA-C
NPI 1922906452
Physician Assistant in Fort Wayne, IN

Active since October 26, 2026
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 672-6620 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Juwaiyrriyah Mohamed Omar Pa-c NPPES

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

JUWAIYRRIYAH MOHAMED OMAR PA-C (NPI 1922906452) is an individual physician assistant in Fort Wayne, Indiana and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1922906452
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJUWAIYRRIYAH MOHAMED OMARCredential: PA-C
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Sole ProprietorNo
Enumeration DateOctober 26, 2026
NPPES CertifiedOctober 26, 2026
✔ NPI 1922906452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

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.

Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

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 Juwaiyrriyah Omar's NPI number?

The NPI number for Juwaiyrriyah Omar is 1922906452. It was assigned to this individual provider in the NPPES registry on October 26, 2026.

Where is Juwaiyrriyah Omar located?

Juwaiyrriyah Omar practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 672-6620.

What is Juwaiyrriyah Omar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Juwaiyrriyah Omar was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.