SUN JIANG GUO M.D.
NPI 1942211362
Specialist in Fort Wayne, IN

Q: What is Sun Guo's NPI number?

The NPI number for Sun Guo is 1942211362. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Sun Guo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Sun Guo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 10, 2006PECOS Enrolled

2121 LAKE AVE, FORT WAYNE, IN 46805(260) 426-5431 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Sun Jiang Guo M.d. NPPES

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

SUN JIANG GUO M.D. (NPI 1942211362) is an individual specialist in Fort Wayne, Indiana, licensed in Indiana (01029090A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942211362

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameSUN JIANG GUOCredential: M.D.

Location Address2121 LAKE AVEFort Wayne, IN 46805-5100

Mailing Address8916 Laurel HurstFort Wayne, IN 46835-8866 · (260) 485-9718

Phone(260) 426-5431

Sole ProprietorNo

Enumeration DateAugust 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942211362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IN · 01029090A

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2121 LAKE AVE, Fort Wayne, IN 46805

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sun Jiang Guo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

TAMMY MOEHLE

Registered Nurse (Oncology)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. CALEB ANDREW MOSSBURG PHARMD

Pharmacist

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. ASHLEY M FULTON PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

HANNAH DULINSKY RN

Registered Nurse (Home Health)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 460-1445

DANIELLE SCHULTZ

Registered Nurse

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

DR. IAN H. COOK M.D.

Surgery

2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER
FORT WAYNE, IN 46805

Allen County (260) 426-5431

SCOTT KRUSE

Social Worker (Clinical)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 426-5431

MONICA JANE HALL

Registered Nurse (General Practice)

2121 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 456-0543

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 Sun Guo's NPI number?

The NPI number for Sun Guo is 1942211362. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Sun Guo located?

Sun Guo practices at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 426-5431.

What is Sun Guo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sun Guo enrolled in Medicare?

Yes. Sun Guo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sun Guo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.