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Pediatric Associates Inc

Q: What type of organization is Pediatric Associates Inc?

Pediatric Associates Inc is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

Pediatrics Physician in Fort Wayne, IN · enumerated 2005 · authorized official David Rusk, President.

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

National Provider Identifier

1659375079

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Registry record

Entity type Organization (Type 2)

Legal business name Pediatric Associates Inc

Practice address 7910 W Jefferson Blvd, Ste 201, Fort Wayne, IN, 46804

Phone (260) 436-3789

Fax (260) 436-2703

Enumeration date Jun 13, 2005

Last updated in NPPES Apr 10, 2024

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 01025325A (IN) Primary

Authorized official

Name David Rusk

Title President

Phone (260) 436-3789

Other identifiers

Identifier	Type	State	Issuer
100049720A	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 Pediatric Associates Inc?

Pediatric Associates Inc is registered in NPPES as a Pediatrics Physician (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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-10.