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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFERSON PARK PEDIATRICS P C

Active Organization

JEFFERSON PARK PEDIATRICS P C is a Pediatrics organization located in FORT WAYNE, Indiana. NPI 1629263181 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · FORT WAYNE, IN

Registration Details

NPI Number
1629263181
Provider Type
Organization
NPI Issued
Sep 7, 2007 (18.925750251684 yrs)
Last Updated
Apr 23, 2025

Practice Information

Address
3919 W JEFFERSON BLVD STE 1
FORT WAYNE, IN, 468046811
Browse IN providers · Browse ZIP 46804
Phone
2604367722
Fax
2604590012
Primary Specialty
Pediatrics
208000000X
Additional Specialty
202D00000X
Additional Specialty
Dermatology
Additional Specialty
Family Medicine
Additional Specialty
Pediatrics
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.