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Three Rivers Dermatology, LLC

Three Rivers Dermatology, LLC is a healthcare organization registered as Specialist in Fort Wayne, IN, holding Type 2 (organization) NPI 1992991475 since 2007. The authorized official on file is Jeffrey Sassmannshausen, Ceo/Owner.

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NPI 1992991475
Entity type Organization (Type 2)
Legal business name Three Rivers Dermatology, LLC
Other name <Unavail>
Practice address 5650 COVENTRY LN, Fort Wayne, IN, 46804
Phone 2604369696
Fax 2604369424
Enumeration date 2007-09-19
Last updated in NPPES 2020-06-12

Authorized official

Name Jeffrey Sassmannshausen
Title Ceo/Owner
Phone 2604369696

Taxonomy & classification

Taxonomy code Specialty Primary License State
174400000X Specialist Primary
Copy-ready billing details
Provider: Three Rivers Dermatology, LLC
NPI: 1992991475
Taxonomy: 174400000X (Specialist)
Address: 5650 COVENTRY LN, Fort Wayne, IN, 46804

Providers at this address

NPI Name Type Specialty Location
1316928195 Jeffrey Sassmannshausen Individual Specialist Fort Wayne, IN
1750390902 A. Ferguson Individual Physician Assistant Fort Wayne, IN
1073963351 Jenifer Fortney Individual Medical Physician Assistant Fort Wayne, IN
1396248415 Jacquelyn Beemer Individual Physician Assistant Fort Wayne, IN
1740905488 Dana Lingel Individual Physician Assistant Fort Wayne, IN

Verify this record

Cross-check NPI 1992991475 against the authoritative CMS record: view Three Rivers Dermatology, LLC 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

What type of organization is Three Rivers Dermatology, LLC?
Three Rivers Dermatology, LLC is registered in NPPES as a Specialist (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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-06-12.