Hospital Care Group, P.c. | |
6435 W Jefferson Blvd Pmb 109 Fort Wayne IN 46804 | |
(260) 344-4035 | |
Not Available |
Full Name | Hospital Care Group, P.c. |
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Speciality | Internal Medicine |
Location | 6435 W Jefferson Blvd, Fort Wayne, Indiana |
Authorized Official Name and Position | Khurrum Shaikh (PRESIDENT) |
Authorized Official Contact | 2603127139 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hospital Care Group, P.c. 6435 W Jefferson Blvd Pmb 109 Fort Wayne IN 46804-6203 Ph: (260) 312-7139 | Hospital Care Group, P.c. 6435 W Jefferson Blvd Pmb 109 Fort Wayne IN 46804 Ph: (260) 344-4035 |
NPI Number | 1295083624 |
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Provider Enumeration Date | 08/15/2012 |
Last Update Date | 03/11/2022 |
Medicare PECOS PAC ID | 7416107487 |
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Medicare Enrollment ID | O20121029000378 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295083624 | NPI | - | NPPES |
0071471 | Medicaid | OH |
Provider Name | Layth Maolood |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790788701 PECOS PAC ID: 5991699753 Enrollment ID: I20040211001252 |
Provider Name | Khurrum A Shaikh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386683068 PECOS PAC ID: 1951371921 Enrollment ID: I20040727001662 |
Provider Name | Scott W Jarvis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760466692 PECOS PAC ID: 5395782486 Enrollment ID: I20050411000798 |
Provider Name | Douglas Cifuentes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689677544 PECOS PAC ID: 8224059969 Enrollment ID: I20051209000418 |
Provider Name | Kombian Gbaruk |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235171802 PECOS PAC ID: 3577569342 Enrollment ID: I20061018000584 |
Provider Name | Bernice A Hawley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811219108 PECOS PAC ID: 9638209372 Enrollment ID: I20100607000836 |
Provider Name | Khaled M N Abuhanttash |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184889180 PECOS PAC ID: 0143344382 Enrollment ID: I20140620000981 |
Provider Name | Terri Renae Eldridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982078465 PECOS PAC ID: 8325345606 Enrollment ID: I20160331001905 |
Provider Name | Junyang Gong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801021183 PECOS PAC ID: 6406135763 Enrollment ID: I20161109002704 |
Provider Name | Sheila A Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437608783 PECOS PAC ID: 5496035636 Enrollment ID: I20161206001086 |
Provider Name | Karry L Clapper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841646833 PECOS PAC ID: 0345524070 Enrollment ID: I20170224001461 |
Provider Name | Kamel Munther Massarweh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518373737 PECOS PAC ID: 8123305950 Enrollment ID: I20170621001010 |
Provider Name | Kimberly Mcmurray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699129148 PECOS PAC ID: 8325337314 Enrollment ID: I20170905002643 |
Provider Name | Derek C Forsthoefel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861754855 PECOS PAC ID: 7911139001 Enrollment ID: I20190624002530 |
Provider Name | Ammar Asif |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083135917 PECOS PAC ID: 4789008186 Enrollment ID: I20200717002202 |
Provider Name | Sharon Worlton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003422858 PECOS PAC ID: 4587084678 Enrollment ID: I20201020002713 |
Provider Name | Julie Lynn Hughett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861096398 PECOS PAC ID: 0446664536 Enrollment ID: I20210201002723 |
Provider Name | Beenish Fayyaz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649620675 PECOS PAC ID: 6507159332 Enrollment ID: I20210716002732 |
Provider Name | Ruchi Bisen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578059044 PECOS PAC ID: 2668723867 Enrollment ID: I20210816002802 |
Provider Name | George J. Moussally |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013261973 PECOS PAC ID: 6507010600 Enrollment ID: I20220420001167 |
Provider Name | Kathleen Rae Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477292431 PECOS PAC ID: 3274919725 Enrollment ID: I20221006000816 |
Provider Name | Olajumoke Ayobami Ige |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497383566 PECOS PAC ID: 3375909617 Enrollment ID: I20230511002868 |
Provider Name | Mark Alan Washington |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1396079406 PECOS PAC ID: 9234372418 Enrollment ID: I20230919002549 |
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