MEDICARE: FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC.

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	207RH0003X	Hematology & Oncology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CA4536	OTHER	IN	MEDICARE RR

General Provider Information

NPI Number	:	1528044005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 15099
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46885-5099
Country	:	US
Telephone Number	:	260-484-8830
Fax Number	:	260-483-1911

Provider Business Practice Location Address
First Line	:	516 E MAUMEE ST
Second Line	:
City	:	ANGOLA
State	:	IN
Zip	:	46703-2017
Country	:	US
Telephone Number	:	260-668-4040
Fax Number	:	260-668-3897

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	ANNE KRAHN
Credential	:
Telephone Number	:	260-969-7868

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	10/11/2007

Similar Medicare Providers

1033000120 — AMERICAN ONCOLOGY PARTNERS, P.A.
Practice Location Address:

516 E MAUMEE ST
ANGOLA, IN
46703-2017

Practice Phone: 260-436-0800
Practice Fax: 260-483-1900

1407625163 — PETER MAINGI MUTITI
Practice Location Address:

200 HOOSIER DR, ANGOLA, IN 46703
ANGOLA, IN
46703

Practice Phone: 800-342-5653
Practice Fax:

1114876539 — KIERSTIN HIGH
Practice Location Address:

100 N PUBLIC SQ
ANGOLA, IN
46703-1959

Practice Phone: 260-665-9060
Practice Fax:

1033084488 — PRACTICAL FAMILY MEDICINE, LLC
Practice Location Address:

610 N WAYNE ST UNIT H2
ANGOLA, IN
46703-1088

Practice Phone: 260-316-0782
Practice Fax:

1174526289 — CAMERON MEMORIAL COMMUNITY HOSPITAL, INC
Practice Location Address:

416 E MAUMEE ST
ANGOLA, IN
46703-2015

Practice Phone: 260-665-2141
Practice Fax: 260-665-8608

1073516753 — DR. GREY PRESTON BAALS O.D.
Practice Location Address:

712 CAMERON WOODS DR
ANGOLA, IN
46703

Practice Phone: 260-668-3937
Practice Fax: 260-668-3794

Directions to “FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC. ” 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.