# INPHYNET PRIMARY CARE PHYSICIANS MIDWEST, S.C.

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

## Provider details

- **NPI number:** 1528090610
- **Authorized official:** ELMER K CHOI MD (OWNER/PRESIDENT)
- **Authorized official phone:** (856) 686-4342

## Contact information

- **Practice address:** 7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
- **Practice address phone:** (260) 435-2699
- **Mailing address:** BOX 635407, CINCINNATI, OH 45263-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 06/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DE3669 | MEDICARE TRAVELERS RR-GA | IN |