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

Northeast Obstetrics & Gynecology, LLC

Organization Obstetrics & Gynecology Physician · NPI 1831354471

Northeast Obstetrics & Gynecology, LLC is an Obstetrics & Gynecology Physician in Fort Wayne, Indiana. Registered with an NPI since 2008.

In the registry since
2008
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

2414 E State Blvd Ste 101
Fort Wayne, IN 46805-4760
Phone: (260) 422-7455
Fax: (260) 422-0086
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1831354471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tami Furniss — Business Manager · (260) 426-7755
NPI enumeratedJuly 23, 2008
Last updated in NPPESJuly 23, 2008
Mailing address2414 E State Blvd, Suite 101, Fort Wayne, IN 46805-4760

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