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Fort Wayne Orthopaedics, LLC

Durable Medical Equipment & Medical Supplies in Angola, IN · enumerated 2010 · authorized official Jerald Cooper, Physician/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104131259

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Registry record

Entity type Organization (Type 2)
Legal business name Fort Wayne Orthopaedics, LLC
Other name <Unavail>
Practice address 306 E Maumee St, Ste. 304, Angola, IN, 46703
Phone (260) 436-8686
Fax (260) 436-8585
Enumeration date Aug 13, 2010
Last updated in NPPES Jan 7, 2022

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Secondary
207XS0106X Orthopaedic Hand Surgery Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Secondary
207XS0117X Orthopaedic Surgery of the Spine Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Secondary
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Secondary
207XX0801X Orthopaedic Trauma Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 50002482 (IN) Secondary
213ES0131X Foot Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 50002482 (IN) Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 50002482 (IN) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 50002482 (IN) Secondary

Authorized official

Name Jerald Cooper
Title Physician/Owner
Phone (260) 436-8686

Other identifiers

Identifier Type State Issuer
0162610004 Other - DME REGION B
100210470A Medicaid IN -
0162610004 Other IN DME PTAN
100210470 Medicaid IN -
300049590 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Fort Wayne Orthopaedics, LLC?
Fort Wayne Orthopaedics, LLC is registered in NPPES as a Durable Medical Equipment & Medical Supplies (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-07.