Individual
JOHN E DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11123 PARKVIEW PLAZA DR, SUITE 101, FORT WAYNE, IN 46845-1707
(260) 422-7455
(260) 424-9356
Mailing address
3702 NEW VISION DR, BLDG B, FORT WAYNE, IN 46845-1703
(260) 266-8210
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02001845A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000511990
ANTHEM PROVIDER ID# - WHC
IN
01
—
000000595615
ANTHEM
IN
05
—
200129910
—
IN
05
—
200493620
—
IN
01
—
3013250
OH MEDICAID
IN
01
—
P00690557
RAILROAD MEDICARE
IN
Enumeration date
07/19/2005
Last updated
01/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us