Organization
FORT WAYNE CARDIOLOGY CORPORATION
Active
Organization
FORT WAYNE CARDIOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND DUSMAN M.D. (MD PRACTITIONER)
(260) 481-4700
Entity
Organization
Contact information
Practice address
1819 CAREW ST, FORT WAYNE, IN 46805-4705
(260) 481-4700
(260) 481-4808
Mailing address
PO BOX 11829, FORT WAYNE, IN 46861-1829
(260) 481-4700
(260) 481-4808
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200425420A
—
IN
01
—
CK6996
RR MEDICARE
IN
Enumeration date
12/16/2005
Last updated
10/07/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up