| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1720491731 | MARX | JOHN | E | 11109 PARKVIEW PLAZA DR # 117 | FORT WAYNE | IN | 468451701 | |
| 1871178897 | ROY | JENNA | MARIE | 11109 PARKVIEW PLAZA DR # 117 | FORT WAYNE | IN | 468451701 | |
| 1851749147 | SHOEMAKER | ERIC | 3702 NEW VISION DR BLDG B | FORT WAYNE | IN | 468451703 |