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

Holtsclaw Medical Centre, LLC

Organization Family Medicine Physician · NPI 1235146812

Holtsclaw Medical Centre, LLC is a Family Medicine Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

4666 W Jefferson Blvd Ste 140
Fort Wayne, IN 46804-6892
Phone: (260) 432-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02001568A (IN)

Record details

NPI number1235146812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Holtsclaw — Member · (260) 432-0100
NPI enumeratedAugust 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4666 W Jefferson Blvd, Suite 140, Fort Wayne, IN 46804-6892

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