OrganizationActive
Orthopaedics Northeast, PC
NPI 1629037353 · Podiatrist · Wabash, IN
Provider details
- NPI number
- 1629037353
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Raymond Kusisto, Ceo(260) 484-8551
- License
- 50001907A (IN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
710 N East St
Wabash, IN 46992-1914
Phone: (260) 484-8551
Fax: (260) 484-9603
Street-level locationGet directions
Mailing address
5050 N Clinton St
Fort Wayne, IN 46825-5822
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.