Organization
PARKVIEW HEALTH SYSTEM, INC.
Active
Other names
Parkview Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PAUL GENTILE MD (PRESIDENT)
(260) 484-7777
Entity
Organization
Contact information
Practice address
1234 E DUPONT RD, SUITE 5, FORT WAYNE, IN 46825-1545
(260) 484-7777
(260) 484-5400
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(602) 266-8210
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01018769
IN
207Q00000X
Family Medicine Physician
Primary
01018769
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100049060A
—
IN
Enumeration date
10/27/2006
Last updated
03/22/2022
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