Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265532212 Individual Practitioner Male Practitioner

Dr. Mark D O'brien , DO

Pediatrics • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Mark O'Brien, DO is a registered healthcare professional specializing in Pediatrics in Fort Wayne, IN. Practice services are available at 6507 E STATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6507 E State Blvd

Fort Wayne, IN 468157026

Telephone 2604863300
Fax 2604863600
Associated Practice Facility / Clinic
🏢 Appleseed Pediatrics, Pc Facility NPI 1619057130

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
57 Specialists

Practicing in Fort Wayne, IN (1179 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 02001451A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200931380 (IN)
Commercial Insurance / Payer ID Anthem
000000606296 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1013533926

Doctor of Medicine (M.D.)

Dr. Julie Bryan , MD

Internal Medicine

NPI 1063496644

Doctor of Medicine (M.D.)

Christy Buuck , PA

Physician Assistant

NPI 1164613410

Physician Assistant

Shelli Jenkins , NP-C

Nurse Practitioner

NPI 1174505432

Nurse Practitioner (Certified)

Sara Bauer , NP

Nurse Practitioner

NPI 1215084124

Nurse Practitioner

Dr. Ashraf Hanna , MD

Family Medicine

NPI 1720153919

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 14, 2025

Registered at 6507 E STATE BLVD, FORT WAYNE, IN 468157026 (Tel: 2604863300)

📍
Updated Business Mailing Address April 03, 2023

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2023

Pediatrics (License #02001451A in IN)

NPI Profile Active August 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2012

Registered at 6108 MAPLECREST RD, FORT WAYNE, IN 468352524 (Tel: 2604863300)

📍
Updated Business Mailing Address August 02, 2012

Registered at 1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 468251545 (Tel: 2603739965)

👤
Provider Name / Credentials Updated August 02, 2012

Recorded as MARK O'BRIEN, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2012

Pediatrics (License #02001451A in IN)

🟢
Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265532212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: April 14, 2025
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.