| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1568595999 | PEDIATRICS CENTER OF FORT WAYNE, P.C. | 3030 LAKE AVE | FORT WAYNE | IN | 468055428 | |||
| 1548349871 | FEDORIW | WIACHESLAW | WILLIAM | 3030 LAKE AVE | FORT WAYNE | IN | 468055428 | |
| 1265688808 | VENESS | KALI | E | 2930 LAKE AVE | FORT WAYNE | IN | 468055416 |