OrganizationActive
Fort Wayne Cardiovascular Surgeon
NPI 1790718765 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Fort Wayne, IN
Provider details
- NPI number
- 1790718765
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Douglas Gray, President/Partner(260) 483-6448
- License
- 50000046A (IN)
Specialties & taxonomies
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
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
11123 Parkview Plaza Dr
Suite 202
Fort Wayne, IN 46845-1707
Phone: (260) 483-6448
Fax: (260) 373-4167
Street-level locationGet directions
Mailing address
1818 Carew Streeet
Fort Wayne, IN 46805
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.