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

Innovative Professional Service LLC

Organization General Practice Physician · NPI 1679836910

Innovative Professional Service LLC is a General Practice Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3464 Stellhorn Rd
Fort Wayne, IN 46815-4630
Phone: (260) 432-6508
Fax: (260) 432-6586
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 01025672 (IN)

Record details

NPI number1679836910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Yeiter — Office Manager · (260) 432-6508
NPI enumeratedJune 21, 2012
Last updated in NPPESJune 21, 2012
Mailing address3464 Stellhorn Rd, Fort Wayne, IN 46815-4630

Other providers in Fort Wayne