FORT WAYNE ENDOSCOPY CENTER LLC
NPI 1548267024
Clinic/Center - Endoscopy in Fort Wayne, IN
NPI Status: Active since June 30, 2005
Contact Information
3415 HOBSON RD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 482-8001
Fax: (260) 471-7444
- Organization
- Clinic/Center
- Endoscopy
- Accepts Insurance
About FORT WAYNE ENDOSCOPY CENTER LLC
This page provides the complete NPI Profile along with additional information for Fort Wayne Endoscopy Center Llc, a provider established in Fort Wayne, Indiana operating as a Clinic/center, focusing in endoscopy . The healthcare provider is registered in the NPI registry with number 1548267024 assigned on June 2005. The practitioner's primary taxonomy code is 261QE0800X with license number 010098 (IN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Rebecca Trimbur (Administrator)
- NPI
- 1548267024
- Provider Name
- FORT WAYNE ENDOSCOPY CENTER LLC
- Entity Type
- Organization
- Location Address
- 3415 HOBSON RD FORT WAYNE, IN 46805
- Location Phone
- (260) 482-8001
- Location Fax
- (260) 471-7444
- Mailing Address
- 3415 HOBSON RD FORT WAYNE, IN 46805
- Mailing Phone
- (260) 266-9076
- Mailing Fax
- (260) 471-7444
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2005
- Last Update Date
- 03-07-2023
- 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 Endoscopy
- Taxonomy Code
- 261QE0800X
- Type
- Ambulatory Health Care Facilities
- License No.
- 010098
- License State
- IN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 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
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - 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.
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 |
|---|---|---|---|
| 010098 | OTHER (01) | IN | STATE LICENSE |
| 000000285559 | OTHER (01) | ANTHEM BCBS | |
| 15D1009484 | OTHER (01) | CLIA CERTIFICATE | |
| 200431310A | MEDICAID (05) | IN |
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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 | 5 | 4 | 8 | 2 | 6 | 7 | 0 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 4 | 6 | 14 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 4 + 6 + 1 + 4 + 0 + 4 + 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 = 4 | 4 | ||||||||
The NPI number 1548267024 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407167299 | DAVID A GIRARDOT DPT Individual | Physical Therapist | 3415 HOBSON RD FORT WAYNE, IN 46805 (260) 373-9318 |
| 1174207757 | MEGAN ANN HARTSELL MSN, APRN, FNP-C Individual | Nurse Practitioner (Occupational Health) | 3415 HOBSON RD FORT WAYNE, IN 46805 (260) 373-9300 |
| 1992405559 | EDNA BEATRIZ SALAZAR NP Individual | Nurse Practitioner | 3415 HOBSON RD FORT WAYNE, IN 46805 (260) 672-4691 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548267024, enumerated in the NPI registry as an "organization" on June 30, 2005
The provider is located at 3415 Hobson Rd Fort Wayne, In 46805 and the phone number is (260) 482-8001
This medical organization specializes in Clinic/Center with taxonomy code 261QE0800X with a focus in Endoscopy
The provider might be accepting Accepts: CareSource, Medicare, Medicaid, Blue Cross Blue. 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 June 30, 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].
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.