Dr. Benjamin Jon Moreno, MD, PHD
Dr. Benjamin Jon Moreno, MD, PHD is a Diagnostic Radiology in Fort Wayne, Indiana. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2005, 21 years ago. Practices with Fort Wayne Radiology Associates LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 21
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- IN
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
3707 New Vision Dr Ste 110Fort Wayne, IN 46845-1702
Phone: (260) 469-6602
Fax: (260) 484-5919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 01070072 (IN) |
|---|---|
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 01070072 (IN) |
Record details
| NPI number | 1013163526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , PHD |
| Sole proprietor | No |
| NPI enumerated | August 15, 2008 |
| Last updated in NPPES | March 5, 2021 |
| Certification date | March 5, 2021 |
| Mailing address | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 2005 (21 years in practice) |
| Group practice | Fort Wayne Radiology Associates Llc — 35 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fort Wayne
-
Jon T Harman, MD
3707 New Vision Dr, Fort Wayne, IN 46845-1702 · (260) 469-4763
-
Nuvena Vein Center, LLC
3707 New Vision Dr, Fort Wayne, IN 46845-1702 · (260) 484-5919
-
Dr. Bradley T Strnad, MD
7900 W Jefferson Blvd Ste 104, Fort Wayne, IN 46804-4128 · (260) 432-1568