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

Mike L McBride, PA

Individual provider Physician Assistant · NPI 1316983752

Mike L McBride, PA is a Physician Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone: (260) 373-4000
Fax: (260) 482-4442
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000037 (IN)

Record details

NPI number1316983752
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESMay 20, 2013
Mailing address3640 New Vision Drive, Suite A, Fort Wayne, IN 46845-1717

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