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Fort Wayne Cardiovascular Surgeon

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fort Wayne, IN · enumerated 2006 · authorized official Douglas Gray, President/Partner.

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

National Provider Identifier

1790718765

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Registry record

Entity type Organization (Type 2)
Legal business name Fort Wayne Cardiovascular Surgeon
Practice address 11123 Parkview Plaza Dr, Suite 202, Fort Wayne, IN, 46845
Fax (260) 373-4167
Enumeration date Jul 10, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians · License 50000046A (IN) Primary

Authorized official

Name Douglas Gray
Title President/Partner

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 Cardiovascular Surgeon?
NPPES lists Douglas Gray (President/Partner) as the authorized official for this organization.
What is the NPI number for Fort Wayne Cardiovascular Surgeon?
The NPI for Fort Wayne Cardiovascular Surgeon is 1790718765, 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 2020-08-22.