| Rpinmd LLC | |
|
6326 Constitution Dr Fort Wayne IN 46804-1518 | |
| (260) 515-3275 | |
| (888) 803-6843 |
| Full Name | Rpinmd LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 6326 Constitution Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Chris Fountain (COO) |
| Authorized Official Contact | 2605153275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rpinmd LLC 6326 Constitution Dr Fort Wayne IN 46804-1518 Ph: (260) 515-3275 | Rpinmd LLC 6326 Constitution Dr Fort Wayne IN 46804-1518 Ph: (260) 515-3275 |
| NPI Number | 1710643085 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Medicare PECOS PAC ID | 4183014616 |
|---|---|
| Medicare Enrollment ID | O20211124000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710643085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | John M Hoskins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114943073 PECOS PAC ID: 1254373897 Enrollment ID: I20050524001284 |
| Provider Name | Thomas P Van Den Driessche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073507745 PECOS PAC ID: 3678592292 Enrollment ID: I20051114000365 |
| Provider Name | Pamela Kinder Fountain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194955757 PECOS PAC ID: 3173651619 Enrollment ID: I20100504000806 |
| Provider Name | Eamonn M Keane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750558136 PECOS PAC ID: 7113195462 Enrollment ID: I20110713000047 |
| Provider Name | Nicholas Hammond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265618722 PECOS PAC ID: 2264699099 Enrollment ID: I20120207000549 |
| Provider Name | David a Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639178619 PECOS PAC ID: 9335194455 Enrollment ID: I20120720000159 |
| Provider Name | Alexa Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629472840 PECOS PAC ID: 9931426186 Enrollment ID: I20150326001888 |
| Provider Name | Andrew M Ellenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689044117 PECOS PAC ID: 8325348444 Enrollment ID: I20151123000113 |
| Provider Name | Jennifer Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760833511 PECOS PAC ID: 5991060436 Enrollment ID: I20180604000599 |
| Provider Name | James Schrettenbrunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437625803 PECOS PAC ID: 9032455167 Enrollment ID: I20190110003014 |
| Provider Name | Wendy Dabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720601651 PECOS PAC ID: 9234550633 Enrollment ID: I20200610000754 |
| Provider Name | Tiffany Marie Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265169676 PECOS PAC ID: 3476929134 Enrollment ID: I20221020001423 |
| Provider Name | Joann Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165989 PECOS PAC ID: 3577974674 Enrollment ID: I20230207001352 |
| Provider Name | Mandy Vires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023707171 PECOS PAC ID: 6709246366 Enrollment ID: I20230714002032 |
| Provider Name | Kyra Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023619947 PECOS PAC ID: 5597908806 Enrollment ID: I20240309000324 |
| Provider Name | Lionel R Brounts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689843419 PECOS PAC ID: 9931354156 Enrollment ID: I20241122003948 |
| Provider Name | Erica Emley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346818903 PECOS PAC ID: 1254850712 Enrollment ID: I20250528001576 |
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Northeast Medical Associates, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 |
Anthony Medical Associates P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1330 N Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-447-8982 Fax: 260-447-4483 |
Brooklyn Medical Associates LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-747-6171 Fax: 260-478-5125 |
Community Open Mri of Auburn LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2428 Lake Ave, Fort Wayne, IN 46805 Phone: 260-422-1491 Fax: 260-423-1421 |
Ashraf H. Hanna, M.D., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 Lake Avenue, Fort Wayne, IN 46815 Phone: 260-422-1906 Fax: 260-422-1925 |