Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fw Interventional Pain Management LLC

Organization Anesthesiology Physician · NPI 1124459276

Fw Interventional Pain Management LLC is an Anesthesiology Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2510 E Dupont Rd Ste 115
Fort Wayne, IN 46825-1600
Phone: (260) 672-8979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01045203A (IN)

Record details

NPI number1124459276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Cozzi — Sole Member · (260) 672-8979
NPI enumeratedNovember 27, 2013
Last updated in NPPESFebruary 18, 2014
Mailing address2510 E Dupont Rd, Suite 115, Fort Wayne, IN 46825-1600

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