OrganizationActive
Northeast Obstetrics & Gynecology, LLC
NPI 1811941024 · Medical Specialty Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1811941024
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tamara Furniss, Business Manager(260) 426-7755
- License
- 50001834A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
11123 Parkview Plaza Dr
Suite 101
Fort Wayne, IN 46845-1707
Phone: (260) 422-7455
Fax: (260) 424-9356
Street-level locationGet directions
Mailing address
11123 Parkview Plaza Dr
Fort Wayne, IN 46845-1707
Other names (DBA / former)
- Doing business as
- Northeast Ob-Gyn, LLC
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2008-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.