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Great Lakes Pediatric Surgeons, Inc.

Pediatric Surgery Physician in Fort Wayne, IN · enumerated 2005 · authorized official David Smith, President.

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

National Provider Identifier

1669455267

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Pediatric Surgeons, Inc.
Practice address 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN, 46804
Phone (260) 469-7337
Fax (260) 469-7340
Enumeration date Nov 29, 2005
Last updated in NPPES Mar 14, 2008

Taxonomy & classification

2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name David Smith
Title President
Phone (260) 469-7337

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 Great Lakes Pediatric Surgeons, Inc.?
NPPES lists David Smith (President) as the authorized official for this organization.
What is the NPI number for Great Lakes Pediatric Surgeons, Inc.?
The NPI for Great Lakes Pediatric Surgeons, Inc. is 1669455267, 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 2008-03-14.