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Premise Health of Indiana Medical PC — NPI 1033700158, Fort Wayne, IN | NPI Central

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NPI 1033700158

OrganizationActive

Premise Health of Indiana Medical PC

NPI 1033700158 · Occupational Medicine Clinic/Center · Fort Wayne, IN

Provider details

NPI number: 1033700158
Entity type: Organization
Primary specialty: Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Jon Leizman, President(615) 468-6270

Specialties & taxonomies

Occupational Medicine Clinic/CenterPrimary261QX0100X
Ambulatory Health Care Facilities

Practice location

4250 Airport Expy

Fort Wayne, IN 46809-9643

Phone: (260) 434-5053

Fax: (260) 434-5413

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

5500 Maryland Way Ste 120

Brentwood, TN 37027-4993

Other names (DBA / former)

Doing business as: Bae Systems Fort Wayne in
Doing business as: Bae Systems Fort Wayne in

Registry dates

Enumerated: 2021-02-01
Last updated: 2024-10-29
Certified: 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.