# FORT WAYNE ENDOCRINOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285786111
- **Authorized official:** JENNEY NEWBY (OFFICE MANAGER)
- **Authorized official phone:** (260) 436-1248

## Contact information

- **Practice address:** 5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
- **Practice address phone:** (260) 436-1248
- **Practice address fax:** (260) 436-7968
- **Mailing address:** 5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
- **Mailing address phone:** (260) 436-1248
- **Mailing address fax:** (260) 436-7968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 02/11/2026