Fort Wayne Orthopaedics LLC
NPI 1497758429ActiveOrganization· Orthopaedic Surgery· Fort Wayne, IN
Orthopaedic Surgery in Fort Wayne, Indiana, registered in NPPES in May 2005. The authorized official on file is Jerald L. Cooper, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1497758429 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2005 |
| Last updated in NPPES | Nov 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 50002482A | IN |
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | 50002482 | IN |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | 50002482 | IN |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | 50002482 | IN |
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | 50002482 | IN |
| Podiatrist | 213E00000X | 50002482 | IN |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
| Physician Assistant | 363A00000X | 50002482A | IN |
| Nurse Practitioner | 363L00000X | 50002482A | IN |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (OH) |
|---|
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