OrganizationActive
Fort Wayne Medical Oncology & Hemat
NPI 1215066949 · Clinic Pharmacy · Fort Wayne, IN
Fort Wayne Medical Oncology & Hemat is a Clinic Pharmacy organization in Fort Wayne, IN (NPI 1215066949).
Provider details
- NPI number
- 1215066949
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tracy Maravilla, Pharmacy Director(260) 484-9660
- License
- 60005894A (IN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4402 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (260) 969-7846
Fax: (260) 483-1734
Street-level locationGet directions
Mailing address
Po Box 15099
Fort Wayne, IN 46885-5099
Other names (DBA / former)
- Doing business as
- Ft Wayne Med Oncology and Hematology
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2010-05-03
Frequently asked questions
- What is Fort Wayne Medical Oncology & Hemat's NPI number?
- Fort Wayne Medical Oncology & Hemat's National Provider Identifier (NPI) is 1215066949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Wayne Medical Oncology & Hemat?
- Fort Wayne Medical Oncology & Hemat is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is Fort Wayne Medical Oncology & Hemat located?
- Fort Wayne Medical Oncology & Hemat's practice location on file with NPPES is 4402 E State Blvd, Fort Wayne, IN 46815-6917.
- What is Fort Wayne Medical Oncology & Hemat's phone number?
- The practice phone number listed in the NPPES registry for Fort Wayne Medical Oncology & Hemat is (260) 969-7846.
- Who is the authorized official for Fort Wayne Medical Oncology & Hemat?
- The authorized official listed on Fort Wayne Medical Oncology & Hemat's NPPES record is Tracy Maravilla, Pharmacy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Wayne Medical Oncology & Hemat's NPI active?
- Yes — Fort Wayne Medical Oncology & Hemat's NPI (1215066949) is active in the NPPES registry as of the last update on 2010-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.