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

Pediatric Associates Inc

Organization Pediatrics Physician · NPI 1659375079

Pediatric Associates Inc is a Pediatrics 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7910 W Jefferson Blvd Ste 201
Fort Wayne, IN 46804-4159
Phone: (260) 436-3789
Fax: (260) 436-2703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01025325A (IN)

Record details

NPI number1659375079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Rusk — President · (260) 436-3789
NPI enumeratedJune 13, 2005
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024
Mailing address7910 W Jefferson Blvd, Ste 201, Fort Wayne, IN 46804-4159

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