OrganizationActive
Premise Health of Indiana Medical PC
NPI 1013500271 · Occupational Medicine Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1013500271
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jon Leizman, President
Practice location
4350 Airport Expressway
Fort Wayne, IN 46509
Phone: (260) 434-5053
Fax: (260) 434-5413
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Registry dates
- Enumerated
- 2021-02-18
- Last updated
- 2024-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.