Individual
MANUEL I. CERVONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6481
Mailing address
6920 POINTE INVERNESS WAY STE 200, MEDPARTNERS, ATTN: BARB COPELAND, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01045446A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01045446A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087428
ANTHEM
IN
05
—
0120765
—
OH
05
—
200108380
—
IN
01
—
P00783795
RAILROAD
IN
Enumeration date
03/01/2006
Last updated
09/23/2020
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