Individual
THOMAS A. KINTANAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10020 DUPONT CIRCLE CT, SUITE 110, FORT WAYNE, IN 46825-1620
(260) 489-8563
(260) 489-8255
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 458-3737
(260) 458-3734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035043A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206208
BCBS
—
05
—
100080420
—
IN
01
—
P00970648
RAILROAD MEDICARE
IN
Enumeration date
06/18/2006
Last updated
10/27/2025
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