MEDICARE: GIFTEDHAND INTEGRATIVE HEALTH & BEHAVIORAL MEDICINE, LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1932054921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIFTEDHAND INTEGRATIVE HEALTH & BEHAVIORAL MEDICINE, LLC

Provider Business Mailing Address
First Line	:	12423 STONEBORO CT
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-9570
Country	:	US
Telephone Number	:	317-561-0525
Fax Number	:	260-327-4551

Provider Business Practice Location Address
First Line	:	12423 STONEBORO CT
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-9570
Country	:	US
Telephone Number	:	832-578-4056
Fax Number	:	260-327-4551

Authorized Official
Title or Position	:	CEO
Name	:	OLUFUNKE PATIENCE MOMOH
Credential	:	DNP
Telephone Number	:	317-561-0525

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	05/11/2026

Similar Medicare Providers

1699537308 — GIFTEDHAND HEALTHCARE SERVICES
Practice Location Address:

12423 STONEBORO CT
FORT WAYNE, IN
46845-9570

Practice Phone: 260-237-6588
Practice Fax:

1003422858 — SHARON WORLTON NP
Practice Location Address:

11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN
46845-1674

Practice Phone: 260-494-3484
Practice Fax: 260-969-0188

1457722415 — MICHELLE L SAYLOR PAC
Practice Location Address:

11109 PARKVIEW PLAZA DR
FORT WAYNE, IN
46845-1701

Practice Phone: 260-373-4000
Practice Fax: 260-482-4442

1871754549 — DR. VENKATA L KURETI MD
Practice Location Address:

11109 PARKVIEW PLAZA DR
FORT WAYNE, IN
46845-1701

Practice Phone: 260-266-2020
Practice Fax: 260-266-2009

1003971490 — DR. CARL M WILLIAMS M.D.
Practice Location Address:

11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN
46845-1672

Practice Phone: 260-373-9700
Practice Fax: 260-373-9740

1245840370 — MATT C PAUL DPT
Practice Location Address:

12722 TONKEL RD STE 102
FORT WAYNE, IN
46845-8201

Practice Phone: 260-739-0300
Practice Fax:

Directions to “GIFTEDHAND INTEGRATIVE HEALTH & BEHAVIORAL MEDICINE, LLC ” 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.