Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Fort Wayne Medical Oncology & Hemat

Clinic Pharmacy in Fort Wayne, IN · enumerated 2007 · authorized official Tracy Maravilla, Pharmacy Director.

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

National Provider Identifier

1215066949

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Fort Wayne Medical Oncology & Hemat

Other name <Unavail>

Practice address 4402 E State Blvd, Fort Wayne, IN, 46815

Phone (260) 969-7846

Fax (260) 483-1734

Enumeration date Mar 6, 2007

Last updated in NPPES May 3, 2010

Taxonomy & classification

3336C0002X Clinic Pharmacy Suppliers · License 60005894A (IN) Primary

Authorized official

Name Tracy Maravilla

Title Pharmacy Director

Phone (260) 484-9660

Other identifiers

Identifier	Type	State	Issuer
200544860A	Medicaid	IN	-
1560247	Other	-	NCPDP PROVIDER IDENTIFICATION NUMBER

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 Medical Oncology & Hemat?

Fort Wayne Medical Oncology & Hemat is registered in NPPES as a Clinic Pharmacy (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.

Providers at this address

Browse all →

Emilio Vazquez Family Medicine Physician · Fort Wayne, IN NPI 1134120421 Robert Hart Family Medicine Physician · Fort Wayne, IN NPI 1215939954 Greg Berghoff Pharmacist · Ft Wayne, IN NPI 1588652978 Glenda Gullion General Practice Registered Nurse · Fort Wayne, IN NPI 1609057850 Carol Garrean Internal Medicine Physician · Fort Wayne, IN NPI 1013179357 Todd Frazier Preventive Medicine/Occupational Environmental Medicine Physician · Fort Wayne, IN NPI 1285890426 Angela Arnold Nurse Practitioner · Fort Wayne, IN NPI 1962770255 Deborah Gill-Henry Nurse Practitioner · Fort Wayne, IN NPI 1881075059

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-03.