DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ORTHOPAEDICS NORTHEAST PC

MEDICARE: ORTHOPAEDICS NORTHEAST 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
1207X00000XOrthopaedic Surgery Physician50001907AIN
2207L00000XAnesthesiology Physician50001907AIN
3208100000XPhysical Medicine & Rehabilitation Physician50001907IN
4213E00000XPodiatrist50001907AIN

General Provider Information

NPI Number : 1801856349
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPAEDICS NORTHEAST PC
Provider Business Mailing Address
First Line : 5050 N CLINTON ST
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-5822
Country : US
Telephone Number : 260-484-8551
Fax Number : 260-484-9603
Provider Business Practice Location Address
First Line : 1381 N WAYNE ST
Second Line :
City : ANGOLA
State : IN
Zip : 46703-2348
Country : US
Telephone Number : 260-484-8551
Fax Number : 260-484-9603
Authorized Official
Title or Position : CEO
Name : RAYMOND KUSISTO
Credential :
Telephone Number : 260-484-8551
Provider Enumeration Date : 03/27/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1083612139 — SUNG OOK WHANG M.D.
Practice Location Address:
1381 N WAYNE ST
ANGOLA, IN
46703-2348
Practice Phone: 260-667-5613
Practice Fax: 260-667-5630
1548448434 — NORTHEAST INDIANA UROLOGY PC
Practice Location Address:
1381 N WAYNE ST
ANGOLA, IN
46703-2348
Practice Phone: 260-436-6667
Practice Fax: 260-469-7437
1013275767 — DR. CANDIS NICOLE BELL M.D.
Practice Location Address:
1381 N WAYNE ST
ANGOLA, IN
46703-2348
Practice Phone: 260-665-8222
Practice Fax: 260-665-8970
1265962633 — JORDAN GEROSKI DO
Practice Location Address:
1381 N WAYNE ST
ANGOLA, IN
46703-2348
Practice Phone: 260-665-8222
Practice Fax:
1326531179 — CAMERON MEMORIAL COMMUNITY HOSPITAL INC
Practice Location Address:
1381 N WAYNE ST
ANGOLA, IN
46703-2348
Practice Phone: 260-665-8222
Practice Fax: 260-665-8970
1568023950 — MELISSA STEMEN NP-C
Practice Location Address:
1381 N WAYNE ST
ANGOLA, IN
46703-2348
Practice Phone: 260-667-5613
Practice Fax: 260-667-5673

Directions to “ORTHOPAEDICS NORTHEAST 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.