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

Three Rivers Anesthesia, LLC

Organization Anesthesiology Physician · NPI 1760542468

Three Rivers Anesthesia, LLC is an Anesthesiology Physician in Fort Wayne, Indiana. Registered with an NPI since 2006.

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

7956 W Jefferson Blvd
Fort Wayne, IN 46804
Phone: (765) 284-0493
Fax: (765) 284-2434
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1760542468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Jennifer Phuong — Owner · (765) 284-0493
NPI enumeratedDecember 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2001 N Granville Ave, Muncie, IN 47303-2110

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