FORT WAYNE ORTHOPAEDICS LLC
NPI 1497758429
Orthopaedic Surgery in Fort Wayne, IN
NPI Status: Active since May 23, 2005
Contact Information
7601 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-8686
Fax: (260) 436-8585
- Organization
- Orthopaedic Surgery
- Accepts Insurance
- CLIA Number: 15D2316729
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-09-2027
About FORT WAYNE ORTHOPAEDICS LLC
This page provides the complete NPI Profile along with additional information for Fort Wayne Orthopaedics Llc, a provider established in Fort Wayne, Indiana operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1497758429 assigned on May 2005. The practitioner's primary taxonomy code is 207X00000X with license number 50002482A (IN). The provider is registered as an organization and their NPI record was last updated 10 years ago. Fort Wayne Orthopaedics Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jerald L Cooper M.d. (President)
- NPI
- 1497758429
- Provider Name
- FORT WAYNE ORTHOPAEDICS LLC
- Entity Type
- Organization
- Location Address
- 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804
- Location Phone
- (260) 436-8686
- Location Fax
- (260) 436-8585
- Mailing Address
- PO BOX 2526 FORT WAYNE, IN 46801
- Mailing Phone
- (260) 436-8686
- Mailing Fax
- (260) 436-8585
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2005
- Last Update Date
- 11-19-2015
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 50002482A
- License State
- IN
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 2 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 3 | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 4 | 207XX0801X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 50002482 (IN) |
| 5 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | 50002482 (IN) |
| 6 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 7 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 50002482A (IN) |
| 8 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 50002482A (IN) |
| 9 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
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.
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 |
|---|---|---|---|
| 132560 | MEDICARE PIN (08) | IN | |
| 201255250 | MEDICAID (05) | IN | |
| H095990 | MEDICARE PIN (08) | OH | |
| 665600 | MEDICARE PIN (08) | IN | |
| 0162610001 | MEDICARE NSC (07) | IN | |
| MI3528 | MEDICARE PIN (08) | MI | |
| 452290 | MEDICARE PIN (08) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2316729
- Facility Type
- Physician Office
- Certificate Effective Date
- January 10, 2025
- Certificate Expiration Date
- January 09, 2027
- Laboratory Director
- KALYAN C. ALURI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fort Wayne Orthopaedics Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 4 | 9 | 7 | 7 | 5 | 8 | 4 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 5 | 16 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 5 + 1 + 6 + 4 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1497758429 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013910934 | PETER A PAONESSA P.T. Individual | Physical Therapist | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1629071600 | JERRY L MACKEL M.D. Individual | Orthopaedic Surgery | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1306845797 | CHAD E PARENT PT Individual | Physical Therapist | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1114926516 | CYNTHIA C TOLL PT Individual | Physical Therapist | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1609875079 | SANDRA L HARLAN O.T. Individual | Occupational Therapist | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1649279993 | CAROL S. BENNETT P.T. Individual | Physical Therapist | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1114927894 | NATALIE J BRANDENBURGER OT Individual | Occupational Therapist | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1982605804 | THERESA M SPADE PT Individual | Physical Therapist | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1851355549 | NATHAN PAUL STEIGMEYER P.T. Individual | Physical Therapist | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1942234356 | MRS. ELIZABETH ANN SLATER MA, ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-2626 |
| 1275747131 | MRS. SARA E THOMAS MED, ATC Individual | Specialist/Technologist (Athletic Trainer) | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 444-6078 |
| 1629222922 | CHRISTOPHER D BELSCHNER P.A. Individual | Physician Assistant | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-8686 |
| 1972826956 | MR. DAVID RICHARD WILLIAMS LAT/ATC Individual | Specialist/Technologist (Athletic Trainer) | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-6326 |
| 1841513827 | MICHELLE K HERTEL ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-6326 |
| 1194048181 | MR. TODD MICHAEL JENKINS LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-6326 |
| 1558684522 | MRS. TRACY LYNN HOUSER ATC/LAT Individual | Specialist/Technologist (Athletic Trainer) | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 436-6326 |
| 1396069175 | MS. TRISCHELLE T. SCHENKEL ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-2626 |
| 1194001396 | MRS. SHARI EGER CASABURO ATC/L Individual | Specialist/Technologist (Athletic Trainer) | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (269) 436-2626 |
| 1902183510 | KARA ANN WYNN ATC,LAT Individual | Specialist/Technologist (Athletic Trainer) | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 435-2626 |
| 1891798872 | MICHAEL L MCARDLE M.D. Individual | Orthopaedic Surgery | 7601 W JEFFERSON BLVD FORT WAYNE, IN 46804 (260) 432-5382 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497758429, enumerated in the NPI registry as an "organization" on May 23, 2005
The provider is located at 7601 W Jefferson Blvd Fort Wayne, In 46804 and the phone number is (260) 436-8686
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 15D2316729 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 23, 2005. 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].
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