BAE SYSTEMS FORT WAYNE IN
NPI 1013500271
Clinic/Center - Occupational Medicine in Fort Wayne, IN

NPI Status: Active since February 18, 2021

Contact Information

4350 AIRPORT EXPRESSWAY
FORT WAYNE, IN
ZIP 46509
Phone: (260) 434-5053
Fax: (260) 434-5413

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Occupational Medicine

About BAE SYSTEMS FORT WAYNE IN

This page provides the complete NPI Profile along with additional information for Bae Systems Fort Wayne In, a provider established in Fort Wayne, Indiana operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1013500271 assigned on February 2021. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Bae Systems Fort Wayne In. The authorized official of this NPI record is Dr. Jon Leizman Md (President)

NPI
1013500271
Provider Legal Name
PREMISE HEALTH OF INDIANA MEDICAL PC
Other Organization Name
BAE SYSTEMS FORT WAYNE IN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4350 AIRPORT EXPRESSWAY FORT WAYNE, IN 46509
Location Phone
(260) 434-5053
Location Fax
(260) 434-5413
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-18-2021
Last Update Date
10-29-2024
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JON LEIZMAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 468-6270

Reviews for BAE SYSTEMS FORT WAYNE IN

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013500271
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20231000214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 1 + 0 + 0 + 0 + 2 + 1 + 4 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1013500271 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013500271, enumerated in the NPI registry as an "organization" on February 18, 2021

The provider is located at 4350 Airport Expressway Fort Wayne, In 46509 and the phone number is (260) 434-5053

This medical organization specializes in Clinic/Center with taxonomy code 261QX0100X with a focus in Occupational Medicine

This NPI record was last updated on February 18, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.