FORT WAYNE CARDIOVASCULAR SURGEONS, PC
NPI 1679551741
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Wayne, IN

NPI Status: Active since January 09, 2006

Contact Information

1818 CAREW ST
SUITE 250
FORT WAYNE, IN
ZIP 46805
Phone: (260) 483-6448
Fax: (260) 373-4167

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About FORT WAYNE CARDIOVASCULAR SURGEONS, PC

This page provides the complete NPI Profile along with additional information for Fort Wayne Cardiovascular Surgeons, Pc, a provider established in Fort Wayne, Indiana operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1679551741 assigned on January 2006. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Douglas L Gray Md (President)

NPI
1679551741
Provider Name
FORT WAYNE CARDIOVASCULAR SURGEONS, PC
Entity Type
Organization
Location Address
1818 CAREW ST SUITE 250 FORT WAYNE, IN 46805
Location Phone
(260) 483-6448
Location Fax
(260) 373-4167
Mailing Address
1818 CAREW ST SUITE 250 FORT WAYNE, IN 46805
Mailing Phone
(260) 483-6448
Mailing Fax
(260) 373-4167
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2006
Last Update Date
10-22-2007
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DOUGLAS L GRAY MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(260) 483-6448

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
C15472OTHER (01)INTRAVELERS MEDICARE
046240MEDICARE ID-TYPE UNSPECIFIED (04)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.
1679551741
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149105278
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 0 + 5 + 2 + 7 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1679551741 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447257795DR. P. RAO GUMMADI M.D.
Individual
Anesthesiology1818 CAREW ST SUITE 220
FORT WAYNE, IN 46805
(260) 482-1004
1942290663 NORMA J DRIVER NP
Individual
Nurse Practitioner1818 CAREW ST SUITE 230
FORT WAYNE, IN 46805
(260) 482-8241
1740226083 SHERRRIE K WALKER NP
Individual
Nurse Practitioner1818 CAREW ST SUITE 110
FORT WAYNE, IN 46805
(260) 969-7600
1346250495 NANCY HOCKLEY M.D.
Individual
Urology1818 CAREW ST SUITE 210
FORT WAYNE, IN 46805
(260) 482-8681
1508945809FORT WAYNE UROLOGY INC.
Organization
Urology1818 CAREW ST SUITE 210
FORT WAYNE, IN 46805
(260) 482-8681
1861647000 PATRICK ANDREW MACKNICK PA-C
Individual
Physician Assistant1818 CAREW ST SUITE 250
FORT WAYNE, IN 46805
(260) 483-6448
1407867047 CRAIG HAMILTON
Individual
Urology1818 CAREW ST SUITE 210
FORT WAYNE, IN 46805
(260) 482-8681
1457362717 RHYS RUDOLPH M.D.
Individual
Urology1818 CAREW ST SUITE 210
FORT WAYNE, IN 46805
(260) 482-8681
1922156512 ROBERT W MINER M.D.
Individual
Psychiatry & Neurology (Psychiatry)1818 CAREW ST
FORT WAYNE, IN 46805
(260) 446-2234
1013169275 JERI ANN FORREST LCSW
Individual
Social Worker (Clinical)1818 CAREW ST SUITE 230
FORT WAYNE, IN 46805
(260) 373-8000
1295141380GYNECOLOGIC ONCOLOGY OF NORTHEAST INDIANA, LLC
Organization
Obstetrics & Gynecology (Gynecologic Oncology)1818 CAREW ST SUITE 250
FORT WAYNE, IN 46805
(260) 437-4789
1124007158WOMEN'S HEALTH ADVANTAGE
Organization
Obstetrics & Gynecology1818 CAREW ST SUITE 230
FORT WAYNE, IN 46805
(260) 482-8241
1629025523NEUROPSYCHOLOGICAL CONSULTANTS
Organization
Psychologist (Clinical)1818 CAREW ST SUITE 120
FORT WAYNE, IN 46805
(260) 385-1646
1023036472WHITSON VISION, PC
Organization
Ophthalmology1818 CAREW ST SUITE 300
FORT WAYNE, IN 46805
(260) 373-7138
1841218294WHITSON VISION, PC
Organization
Ophthalmology1818 CAREW ST
FORT WAYNE, IN 46805
(260) 373-7138
1518993526DR. JAMES C RANSBOTTOM M.D.
Individual
Internal Medicine1818 CAREW ST SUITE 260
FORT WAYNE, IN 46805
(260) 373-9250
1013179357DR. CAROL P GARREAN M.D.
Individual
Internal Medicine1818 CAREW ST SUITE 260
FORT WAYNE, IN 46805
(260) 373-9250
1063496644 JULIE BRYAN M.D.
Individual
Internal Medicine1818 CAREW ST SUITE 260
FORT WAYNE, IN 46805
(260) 373-9250
1821075995 SUSAN L. STEFFY M.D.
Individual
Internal Medicine1818 CAREW ST STE. 260
FORT WAYNE, IN 46805
(260) 373-9250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679551741, enumerated in the NPI registry as an "organization" on January 09, 2006

The provider is located at 1818 Carew St Suite 250 Fort Wayne, In 46805 and the phone number is (260) 483-6448

This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X

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 09, 2006. 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.