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Fort Wayne Orthopedics, LLC

Orthopaedic Surgery Physician in Lagrange, IN · enumerated 2010 · authorized official Jerald Cooper, M.D./President.

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

National Provider Identifier

1881909935

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Registry record

Entity type Organization (Type 2)
Legal business name Fort Wayne Orthopedics, LLC
Practice address 207 N Townline Rd, Lagrange, IN, 46761
Fax (260) 459-0036
Enumeration date Aug 13, 2010
Last updated in NPPES Nov 27, 2013

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Primary
207XS0106X Orthopaedic Hand Surgery Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Secondary
207XS0117X Orthopaedic Surgery of the Spine Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Secondary
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Secondary
207XX0801X Orthopaedic Trauma Physician Allopathic & Osteopathic Physicians · License 50002482 (IN) Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 50002482 (IN) Secondary
213ES0131X Foot Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 50002482 (IN) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 50002482 (IN) Secondary

Authorized official

Name Jerald Cooper
Title M.D./President

Other identifiers

Identifier Type State Issuer
100210470A Medicaid IN -
100210470 Medicaid IN -
0162610003 Other IN DME PTAN

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-11-27. Verify at npiregistry.cms.hhs.gov.
Where is Fort Wayne Orthopedics, LLC located?
The practice location on file with NPPES is in Lagrange, IN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-27.