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

Northeast Obstetrics & Gynecology, LLC

Organization Medical Specialty Clinic/Center · NPI 1811941024

Northeast Obstetrics & Gynecology, LLC is a Medical Specialty Clinic/Center 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

11123 Parkview Plaza Dr Ste 101
Fort Wayne, IN 46845-1707
Phone: (260) 422-7455
Fax: (260) 424-9356
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 50001834A (IN)

Record details

NPI number1811941024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Furniss — Business Manager · (260) 426-7755
Other names Northeast Ob-Gyn, Llc
NPI enumeratedMay 20, 2006
Last updated in NPPESJune 24, 2008
Mailing address11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845-1707

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