Dupont Ob-Gyn
Dupont Ob-Gyn is a healthcare organization registered as Obstetrics & Gynecology Physician in Ft Wayne, IN, holding Type 2 (organization) NPI 1669487005 since 2006. The authorized official on file is Rosemary Leitch, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669487005 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dupont Ob-Gyn |
| Practice address | 11123 PARKVIEW PLAZA DR, SUITE 204, Ft Wayne, IN, 46845 |
| Phone | 2604906260 |
| Fax | 2604906261 |
| Enumeration date | 2006-07-31 |
| Last updated in NPPES | 2007-12-11 |
Authorized official
| Name | Rosemary Leitch |
|---|---|
| Title | Owner |
| Phone | 2604906260 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology Physician | Primary | 01035629 | IN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000093382 | Other | IN | ANTHEM BCBS |
Copy-ready billing details
Provider: Dupont Ob-Gyn NPI: 1669487005 Taxonomy: 207V00000X (Obstetrics & Gynecology Physician) Address: 11123 PARKVIEW PLAZA DR, SUITE 204, Ft Wayne, IN, 46845
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316946718 | Sailaja Blackmon | Individual | Obstetrics & Gynecology Physician | Fort Wayne, IN |
| 1265431589 | John Drake | Individual | Obstetrics & Gynecology Physician | Fort Wayne, IN |
| 1952300329 | Ronald Baker | Individual | Obstetrics & Gynecology Physician | Fort Wayne, IN |
| 1366426157 | Matthew Barb | Individual | Pediatrics Physician | Fort Wayne, IN |
| 1801870639 | Kathleen Bohnke | Individual | Pediatrics Physician | Fort Wayne, IN |
| 1538146709 | Ronald Sarrazine | Individual | Internal Medicine Physician | Fort Wayne, IN |
| 1619928249 | Leonard Mastbaum | Individual | Endocrinology, Diabetes & Metabolism Physician | Fort Wayne, IN |
| 1811941024 | Northeast Obstetrics & Gynecology, LLC | Organization | Medical Specialty Clinic/Center | Fort Wayne, IN |
Verify this record
Cross-check NPI 1669487005 against the authoritative CMS record: view Dupont Ob-Gyn on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Dupont Ob-Gyn located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-12-11.