OrganizationActive

Three Rivers Radiology, LLC

NPI 1306286513 · Vascular & Interventional Radiology Physician · Fort Wayne, IN

Provider details

NPI number: 1306286513
Entity type: Organization
Primary specialty: Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Carey Gross, President & Treasurer(260) 467-9716
License: 99057753A (IN)

Vascular & Interventional Radiology PhysicianPrimary2085R0204XLicense 99057753A (IN)
Allopathic & Osteopathic Physicians
Anesthesiology Physician207L00000XLicense 99057753A (IN)
Allopathic & Osteopathic Physicians
Pain Medicine (Physical Medicine & Rehabilitation) Physician2081P2900XLicense 99057753A (IN)
Allopathic & Osteopathic Physicians
Body Imaging Physician2085B0100XLicense 99057753A (IN)
Allopathic & Osteopathic Physicians
Diagnostic Neuroimaging (Radiology) Physician2085D0003XLicense 99057753A (IN)
Allopathic & Osteopathic Physicians
Neuroradiology Physician

6819 Lima Rd

Suite 200

Fort Wayne, IN 46818-1145

Phone: (260) 407-6200

Approximate (ZIP-level) locationGet directions

Po Box 8712

Fort Wayne, IN 46898-8712

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.