IndividualActive
Jason Santiago, MD
NPI 1053845289 · Neurology with Special Qualifications in Child Neurology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1053845289
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01088176A (IN)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 01088176A (IN)
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 436-2416
Fax: (260) 436-9662
Approximate (ZIP-level) locationGet directions
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Additional practice locations (1)
- 2401 W University AveMuncie, IN 47303-3428Phone: (765) 751-2600
Registry dates
- Enumerated
- 2017-04-13
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.