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

Pediatrics Center of Fort Wayne, PC

Organization Pediatrics Physician · NPI 1568595999

Pediatrics Center of Fort Wayne, PC is a Pediatrics Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
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

3030 Lake Ave #25A
Fort Wayne, IN 46805-5428
Phone: (260) 422-4096
Fax: (260) 424-2551
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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 10137509 (IN)

Record details

NPI number1568595999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Fedoriw — Office Administrator · (260) 422-4096
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3030 Lake Ave, 25a, Fort Wayne, IN 46805-5428

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