OrganizationActive
Fw Interventional Pain Management LLC
NPI 1124459276 · Anesthesiology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1124459276
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Cozzi, Sole Member(260) 672-8979
- License
- 01045203A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2510 E Dupont Rd
Suite 115
Fort Wayne, IN 46825-1600
Phone: (260) 672-8979
Street-level locationGet directions
Mailing address
2510 E Dupont Rd
Fort Wayne, IN 46825-1600
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2014-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.