OrganizationActive
Northeast Indiana Pediatric Specialists, PC
NPI 1629267323 · Pediatric Infectious Diseases Physician · Fort Wayne, IN
Provider details
- NPI number
- 1629267323
- Entity type
- Organization
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sheryl Anderson, Manager(260) 483-0688
- License
- 50004150A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11123 Parkview Plaza Dr
Ste # 102
Fort Wayne, IN 46845-1707
Phone: (260) 483-0688
Fax: (260) 483-0798
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5191
Fort Wayne, IN 46895-5191
Registry dates
- Enumerated
- 2007-10-18
- Last updated
- 2007-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.