Healthcare Provider Details

I. General information

NPI: 1740262245
Provider Name (Legal Business Name): TRANSMED ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 07/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2853 E DUPONT RD
FORT WAYNE IN
46825-1668
US

IV. Provider business mailing address

2853 E DUPONT RD
FORT WAYNE IN
46825-1668
US

V. Phone/Fax

Practice location:
  • Phone: 260-489-2727
  • Fax: 260-489-2777
Mailing address:
  • Phone: 260-489-2727
  • Fax: 260-489-2777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. WILBUR A HAINES
Title or Position: PRESIDENT
Credential: CPO
Phone: 317-272-9993