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

Northeast Medical Associates, PC

Organization Family Medicine Physician · NPI 1003807850

Northeast Medical Associates, PC is a Family Medicine Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1234 E Dupont Rd Ste 6
Fort Wayne, IN 46825-1545
Phone: (260) 480-2600
Fax: (260) 496-8077
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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 50004246A (IN)

Record details

NPI number1003807850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Evans — Physician · (260) 480-2600
NPI enumeratedNovember 1, 2005
Last updated in NPPESMarch 9, 2011
Mailing address1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825-1545

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