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NPI Code Detail

MEDICARE: PREFERRED ANESTHESIA CONSULTANTS, P.C.

MEDICARE: PREFERRED ANESTHESIA CONSULTANTS, P.C.
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
1207L00000XAnesthesiology PhysicianIN

Other Identifiers

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

General Provider Information

NPI Number : 1639176837
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED ANESTHESIA CONSULTANTS, P.C.
Provider Business Mailing Address
First Line : 3810 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1708
Country : US
Telephone Number : 260-482-1004
Fax Number : 260-483-7894
Provider Business Practice Location Address
First Line : 3810 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1708
Country : US
Telephone Number : 260-482-1004
Fax Number : 260-483-7894
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL YURKANIN
Credential : M.D.
Telephone Number : 260-482-1004
Provider Enumeration Date : 07/01/2005
Last Update Date : 07/21/2022

Similar Medicare Providers

1750388088 — DR. SEETHARAMAIAH ATLURI M.D.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1427055771 — DR. JAMES DESIMONE M.D.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1699772889 — DR. PARDHA KANAGALA M.D.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1922005123 — DR. LOUIS KNOBLE M.D.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1780681924 — DR. MICHAEL YURKANIN M.D.
Practice Location Address:
3810 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-482-1004
Practice Fax: 260-483-7894
1174504278 — KRISTINE BRIGGS-CONNELLY MSPT
Practice Location Address:
3844 NEW VISION DR
FORT WAYNE, IN
46845-1708
Practice Phone: 260-483-9933
Practice Fax: 260-483-9931

Directions to “PREFERRED ANESTHESIA CONSULTANTS, P.C. ” 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.