OrganizationActive
Indiana Epilepsy and Child Neurology, Inc.
NPI 1871668582 · Neurology with Special Qualifications in Child Neurology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1871668582
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Don Stauffer, Vice President(260) 426-9996
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
4310 Lake Ave
Fort Wayne, IN 46815-7222
Phone: (260) 426-9996
Fax: (260) 426-9996
Street-level locationGet directions
Mailing address
4310 Lake Ave
Fort Wayne, IN 46815-7222
Registry dates
- Enumerated
- 2006-11-21
- 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.