Fort Wayne Cardiovascular Surgeon

LBN: Fort Wayne Cardiovascular Surgeon
Fort Wayne Cardiovascular Surgeon is an health care organization with primary practice located at 11123 Parkview Plaza Dr Suite 202, Fort Wayne IN 46845-1707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Fort Wayne Cardiovascular Surgeon can be contacted via phone (260) 483-6448, or through Gray, Douglas L via phone (260) 483-6448.

Contact Information

Primary practice address
11123 Parkview Plaza Dr Suite 202 Fort Wayne IN 46845-1707
Phone: (260) 483-6448
Fax: (260) 373-4167
Website:
Map and Directions
Authorized official contact:
Name: Gray, Douglas L Doctor of Medicine (MD)
Phone: (260) 483-6448

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 50000046A Indiana

Profile Details

NPI number 1790718765
LBN Legal business name Fort Wayne Cardiovascular Surgeon
DBA Doing business as
Authorized official Gray, Douglas L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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