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

Three Rivers Radiology, LLC

Organization Anesthesiology Physician · NPI 1306286513

Three Rivers Radiology, LLC is an Anesthesiology Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
Specialties on file
9
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

6819 Lima Rd Ste 200
Fort Wayne, IN 46818-1145
Phone: (260) 407-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 99057753A (IN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 99057753A (IN)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 99057753A (IN)
Body Imaging Physician Taxonomy 2085B0100X · Licence 99057753A (IN)
Diagnostic Neuroimaging (Radiology) Physician Taxonomy 2085D0003X · Licence 99057753A (IN)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 99057753A (IN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 99057753A (IN)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 99057753A (IN)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 99057753A (IN)

Record details

NPI number1306286513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carey Gross — President & Treasurer · (260) 467-9716
NPI enumeratedJuly 2, 2013
Last updated in NPPESJuly 2, 2013
Mailing addressPo Box 8712, Fort Wayne, IN 46898-8712

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