Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528024783 Individual Practitioner Male Practitioner

Dr. William A Loe , MD

Surgery - Pediatric Surgery • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. William Loe, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Fort Wayne, IN. Practice services are available at 11123 PARKVIEW PLAZA DR STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11123 Parkview Plaza Dr Ste 200

Fort Wayne, IN 46845

Telephone 2604256100
Fax 2604256105
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Fort Wayne, IN (23 Statewide)

Telehealth Adoption Rate
0.0% 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: 2025-01-16
Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License FL ME111827

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License LA 016509

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License SC 52366

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License TN 62296

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License IN 01079883A

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1330035 (LA)

Secondary Practice Locations

7777 Hennessy Blvd, Suite 212

Baton Rouge, LA 708084300

Phone: 2257692295

7777 Hennessy Blvd, Suite 212

Baton Rouge, LA 708084300

Phone: 2257692295

9 Richland Medical Park Dr Ste 500

Columbia, SC 292036870

Phone: 8034344555

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. Vimal Jayswal , MD

Pediatrics - Pediatric Cardiology

NPI 1124250915

Doctor of Medicine (M.D.)

Alda Taube

Nurse Practitioner

NPI 1275092629
Dr. Chandrashekhar Yalamanchali , MD

Pediatrics - Pediatric Pulmonology

NPI 1336161868

Doctor of Medicine (M.D.)

Dr. Paul Stockmann , MD

Surgery - Pediatric Surgery

NPI 1588664932

Doctor of Medicine (M.D.)

Denise Gilham , NP

Nurse Practitioner

NPI 1588947543

Nurse Practitioner

Dr. Edgardo Rivera-Rivera , MD

Pediatrics - Pediatric Gastroenterology

NPI 1710151303

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2022

Surgery (License #016509 in LA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2020

Surgery (License #01079883A in IN)

📍
Updated Practice Location December 21, 2018

Registered at 11123 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845 (Tel: 2604256100)

📍
Updated Business Mailing Address December 21, 2018

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703

NPI Profile Active February 04, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2011

Registered at 7777 HENNESSY BLVD, SUITE 212, BATON ROUGE, LA 708084300 (Tel: 2257692295)

📍
Updated Business Mailing Address February 04, 2011

Registered at 7777 HENNESSY BLVD, SUITE 212, BATON ROUGE, LA 708084300 (Tel: 2257692295)

👤
Provider Name / Credentials Updated February 04, 2011

Recorded as WILLIAM LOE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2011

Surgery (License #016509 in LA)

🟢
Initial NPI Registration & Enumeration April 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. William Loe. Be the first to share your experience!

Sign in to leave a review for Dr. William Loe

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1528024783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2006
Last Update: January 16, 2025
Sole Proprietor: No

Mailing Address

3702 New Vision Dr Bldg B

Fort Wayne, IN 468451703

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.