Innovative Professional Service LLC
NPI 1679836910ActiveOrganization· General Practice· Fort Wayne, IN
General Practice in Fort Wayne, Indiana, registered in NPPES in June 2012. The authorized official on file is Terry Yeiter, Office Manager.
Overview
| NPI | 1679836910 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 21, 2012 |
| Last updated in NPPES | Jun 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 01025672 | IN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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