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Fort Wayne Medical Education Program

Family Medicine Physician in Fort Wayne, IN · enumerated 2006 · authorized official Kimberly Harris, Chief Operating Officer.

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

National Provider Identifier

1184635153

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Registry record

Entity type Organization (Type 2)
Legal business name Fort Wayne Medical Education Program
Other name <Unavail>
Practice address 750 Broadway, Suite 350, Fort Wayne, IN, 46802
Phone (260) 423-2675
Fax (260) 423-6621
Enumeration date Aug 11, 2006
Last updated in NPPES Apr 20, 2015

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kimberly Harris
Title Chief Operating Officer
Phone (260) 423-2682

Other identifiers

Identifier Type State Issuer
100050650A 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.

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Frequently asked questions

Who is the authorized official for Fort Wayne Medical Education Program?
NPPES lists Kimberly Harris (Chief Operating Officer) as the authorized official for this organization.
What is the NPI number for Fort Wayne Medical Education Program?
The NPI for Fort Wayne Medical Education Program is 1184635153, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-20.