Innovative Professional Service LLC
NPI 1679836910 · General Practice Physician · Fort Wayne, IN
Innovative Professional Service LLC is a General Practice Physician organization in Fort Wayne, IN (NPI 1679836910).
Provider details
- NPI number
- 1679836910
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terry Yeiter, Office Manager(260) 432-6508
- License
- 01025672 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2012-06-21
Frequently asked questions
- What is Innovative Professional Service LLC's NPI number?
- Innovative Professional Service LLC's National Provider Identifier (NPI) is 1679836910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Professional Service LLC?
- Innovative Professional Service LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Professional Service LLC located?
- Innovative Professional Service LLC's practice location on file with NPPES is 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630.
- What is Innovative Professional Service LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Professional Service LLC is (260) 432-6508.
- Who is the authorized official for Innovative Professional Service LLC?
- The authorized official listed on Innovative Professional Service LLC's NPPES record is Terry Yeiter, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Professional Service LLC's NPI active?
- Yes — Innovative Professional Service LLC's NPI (1679836910) is active in the NPPES registry as of the last update on 2012-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.