Fort Wayne Orthopedics, LLC

NPI #1043525009 in Peru, Indiana

Provider Information

NPI Number: 1043525009
Entity Type: Organization
Organization Name: Fort Wayne Orthopedics, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 16, 2010
Last Updated: Nov 27, 2013

Practice Location

Address: 315 W OLD KEY DR
Address 2: SUITE 140
City: Peru
State: Indiana
ZIP Code: 46970-9058
Phone: (260) 436-8686

Authorized Official

Name: JERALD L. COOPER, M.D.
Title: M.D./PRESIDENT
Phone: (260) 436-8686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Hand Surgery — Hand Surgery	207XS0106X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Orthopaedic Surgery - Orthopaedic Trauma — Orthopaedic Trauma	207XX0801X
Podiatrist	213E00000X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Physician Assistant	363A00000X
Orthopaedic Surgery	207X00000X	Primary

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