MEDICARE: FORT WAYNE ENDOCRINOLOGY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285786111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT WAYNE ENDOCRINOLOGY PC

Provider Business Mailing Address
First Line	:	5010 W JEFFERSON BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-6804
Country	:	US
Telephone Number	:	260-436-1248
Fax Number	:	260-436-7968

Provider Business Practice Location Address
First Line	:	5010 W JEFFERSON BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-6804
Country	:	US
Telephone Number	:	260-436-1248
Fax Number	:	260-436-7968

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JENNEY NEWBY
Credential	:
Telephone Number	:	260-436-1248

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	02/11/2026

Similar Medicare Providers

1306844501 — DR. MONA RUTH DEWART O.D.
Practice Location Address:

5014 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6804

Practice Phone: 260-432-4060
Practice Fax: 260-436-7475

1902863038 — ASHOK KADAMBI MD
Practice Location Address:

5010 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6804

Practice Phone: 260-436-1248
Practice Fax: 260-436-7968

1710938592 — SWAPNA JOSEPH MD
Practice Location Address:

5010 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6804

Practice Phone: 260-369-8668
Practice Fax: 877-367-2115

1205064656 — VISIONS OPTICAL, P.C.
Practice Location Address:

5014 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6804

Practice Phone: 260-432-4060
Practice Fax: 260-436-7475

1285074088 — SHARON L SPEAR NP
Practice Location Address:

5010 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6804

Practice Phone: 260-436-1248
Practice Fax: 260-436-7968

1457765059 — MRS. JENNIFER SAGGARS PA-C
Practice Location Address:

5010 W JEFFERSON BLVD
FORT WAYNE, IN
46804-6804

Practice Phone: 260-436-1248
Practice Fax:

Directions to “FORT WAYNE ENDOCRINOLOGY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.