FORT WAYNE DERMATOLOGY CONSULTANTS INC
NPI 1235940784
Clinical Medical Laboratory in Fort Wayne, IN

NPI Status: Active since January 15, 2025

Contact Information

7881 CARNEGIE BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-8000
Fax: (260) 434-0929

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  • Organization
  • Clinical Medical Laboratory

About FORT WAYNE DERMATOLOGY CONSULTANTS INC

This page provides the complete NPI Profile along with additional information for Fort Wayne Dermatology Consultants Inc, a provider established in Fort Wayne, Indiana operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1235940784 assigned on January 2025. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Michelle Waggoner (Ceo)

NPI
1235940784
Provider Name
FORT WAYNE DERMATOLOGY CONSULTANTS INC
Entity Type
Organization
Location Address
7881 CARNEGIE BLVD FORT WAYNE, IN 46804
Location Phone
(260) 436-8000
Location Fax
(260) 434-0929
Mailing Address
7881 CARNEGIE BLVD FORT WAYNE, IN 46804
Mailing Phone
(260) 436-8000
Mailing Fax
(260) 434-0929
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2025
Last Update Date
01-15-2025
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Establishments like Fort Wayne Dermatology Consultants Inc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MICHELLE WAGGONER

Authorized Official Title
CEO
Authorized Official Phone
(260) 469-1444

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
15D0974991OTHER (01)INCLIA

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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.
1235940784
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22651840716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 8 + 4 + 0 + 7 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1235940784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568727345DR. HANY OSMAN M.D.
Individual
Pathology (Dermatopathology)7881 CARNEGIE BLVD
FORT WAYNE, IN 46804
(260) 436-8000
1861784449 PRESTON ALDEN GARDNER D.O.
Individual
Surgery (Plastic and Reconstructive Surgery)7881 CARNEGIE BLVD
FORT WAYNE, IN 46804
(260) 436-8000
1730277583FORT WAYNE DERMATOLOGY CONSULTANTS INC
Organization
Dermatology7881 CARNEGIE BLVD
FORT WAYNE, IN 46804
(260) 436-8000
1174059109 PATRICK M. VEERKAMP M.D.
Individual
Dermatology7881 CARNEGIE BLVD
FORT WAYNE, IN 46804
(260) 436-8000
1235780362 ELIZABETH ROSE LICHTSINN NP-C
Individual
Nurse Practitioner (Family)7881 CARNEGIE BLVD
FORT WAYNE, IN 46804
(260) 436-8000
1982702742DR. THOMAS WILLIAM MCGOVERN M.D.
Individual
Dermatology (MOHS-Micrographic Surgery)7881 CARNEGIE BLVD
FORT WAYNE, IN 46804
(260) 436-8000
1164198891 TRUSHA P. BHATIA
Individual
Nurse Practitioner7881 CARNEGIE BLVD
FORT WAYNE, IN 46804
(260) 436-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235940784, enumerated in the NPI registry as an "organization" on January 15, 2025

The provider is located at 7881 Carnegie Blvd Fort Wayne, In 46804 and the phone number is (260) 436-8000

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 15, 2025. 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.