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NPI Code Detail

MEDICARE: FORT WAYNE CARDIOLOGY CORPORATION

MEDICARE: FORT WAYNE CARDIOLOGY CORPORATION
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
1207RC0001XClinical Cardiac Electrophysiology Physician
2207RI0011XInterventional Cardiology Physician
3207RC0000XCardiovascular Disease Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CK6996OTHERINRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609852292
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORT WAYNE CARDIOLOGY CORPORATION
Provider Business Mailing Address
First Line : PO BOX 11829
Second Line :
City : FORT WAYNE
State : IN
Zip : 46861-1829
Country : US
Telephone Number : 260-481-4700
Fax Number : 260-481-4808
Provider Business Practice Location Address
First Line : 1819 CAREW ST
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-4705
Country : US
Telephone Number : 260-481-4700
Fax Number : 260-481-4808
Authorized Official
Title or Position : MD PRACTITIONER
Name : DR. RAYMOND DUSMAN
Credential : M.D.
Telephone Number : 260-481-4700
Provider Enumeration Date : 12/16/2005
Last Update Date : 10/07/2008

Similar Medicare Providers

1568464972 — RAYMOND E DUSMAN JR. MD
Practice Location Address:
1819 CAREW ST
FORT WAYNE, IN
46805-4705
Practice Phone: 260-481-4700
Practice Fax: 260-481-4808
1255303210 — DR. DAVID R PALMER M.D.
Practice Location Address:
1819 CAREW ST , ATTENTION: POLLY BALOSKI
FORT WAYNE, IN
46805-4705
Practice Phone: 260-481-4810
Practice Fax: 260-481-4883
1134209943 — KATHLEEN MARIE MCCOY RDMS, BS
Practice Location Address:
1819 CAREW ST
FORT WAYNE, IN
46805-4705
Practice Phone: 260-481-4785
Practice Fax:
1720107824 — DR. NICHOLAS LEE NUSSBAUM M.D.
Practice Location Address:
1819 CAREW ST
FORT WAYNE, IN
46805-4705
Practice Phone: 260-373-7770
Practice Fax: 260-373-7775
1134318355 — FORT WAYNE CARDIOLOGY CORPORATION
Practice Location Address:
1819 CAREW ST
FORT WAYNE, IN
46805-4705
Practice Phone: 260-481-4700
Practice Fax: 260-481-4808
1750919866 — MOLLY S FURMAN DO
Practice Location Address:
1819 CAREW ST
FORT WAYNE, IN
46805-4705
Practice Phone: 260-373-7770
Practice Fax: 260-373-7775

Directions to “FORT WAYNE CARDIOLOGY CORPORATION ” Practice Location

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