Active NPI 1841222452 Individual Practitioner Male Practitioner

Dr. George L Martin , MD

Urology • Fort Wayne, IN

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. George Martin, MD is a registered Urology practitioner in Fort Wayne, IN. With approximately 20 years of clinical practice since graduating from Indiana University School Of Medicine in 2006, Dr. Martin provides healthcare services at the registered practice location at 11141 PARKVIEW PLAZA DR STE 325.

Dr. Martin is affiliated with Parkview Health System Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, leuprolide acetate (for depot suspension), 7.5 mg, injection, garamycin, gentamicin, up to 80 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11141 Parkview Plaza Dr Ste 325

Fort Wayne, IN 468451714

Telephone 2604255400

Fax 2604255417

Associated Practice Facility / Clinic

🏢 Midwest Community Health Associates, Inc. Facility NPI 1619915170

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fort Wayne, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -1.1 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

33 Specialists

Practicing in Fort Wayne, IN (320 Statewide)

Telehealth Adoption Rate

30.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

84.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martin (20 Years) 20 Yrs

Fort Wayne Specialty Average (21.1 Years) 21.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	228	$135.00	$84.45
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	198	23	$4327.08	$178.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	169	$196.00	$118.78
J1580 Injection, garamycin, gentamicin, up to 80 mg	93	31	$5.43	$2.59
52000 Diagnostic exam of bladder and urethra using an endoscope	82	70	$640.00	$218.87
81003 Automated urinalysis test	41	12	$21.00	$2.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	34	$90.00	$52.36
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	22	$108.00	$32.21
74420 Imaging of urinary tract	32	29	$94.00	$22.86
55700 Biopsy of prostate gland	31	31	$595.00	$220.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$308.00	$155.14
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	24	$1847.15	$113.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$269.00	$166.75
76872 Ultrasound scan of pelvic region through rectum	20	20	$458.00	$126.92
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	16	16	$1609.00	$210.77
50543 Partial removal of kidney using an endoscope	14	14	$5288.00	$1366.28
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$3680.29	$337.36
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	12	$1651.00	$223.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$257.00	$121.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$219.00	$103.45
50541 Destruction of cyst of kidney using an endoscope	11	11	$4810.00	$455.84
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$940.00	$53.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	256	228	$131.31	$84.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	198	$190.53	$120.69
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	228	29	$4327.08	$171.85
52000 Diagnostic exam of bladder and urethra using an endoscope	106	80	$640.00	$222.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	47	$87.37	$51.97
J1580 Injection, garamycin, gentamicin, up to 80 mg	57	19	$5.43	$2.76
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	29	$108.00	$31.45
81003 Automated urinalysis test	42	16	$21.00	$2.20
74420 Imaging of urinary tract	34	29	$94.00	$23.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$297.32	$156.91
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	25	$1751.67	$102.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$260.88	$169.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$256.60	$123.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$213.00	$105.08
55700 Biopsy of prostate gland	19	19	$595.00	$225.62
76872 Ultrasound scan of pelvic region through rectum	19	19	$458.00	$128.17
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$989.00	$298.03
50543 Partial removal of kidney using an endoscope	16	16	$5288.00	$1385.16
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	13	12	$1651.00	$246.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$140.00	$75.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	219	$135.00	$85.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	237	197	$196.00	$120.55
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	183	25	$4257.00	$164.27
52000 Diagnostic exam of bladder and urethra using an endoscope	108	86	$640.00	$228.72
J1580 Injection, garamycin, gentamicin, up to 80 mg	78	23	$8.79	$1.84
81003 Automated urinalysis test	70	30	$21.00	$2.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	60	$90.00	$52.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$308.00	$157.89
74420 Imaging of urinary tract	45	40	$94.00	$23.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$219.00	$105.50
51798 Ultrasound measurement of bladder capacity after voiding	42	38	$111.00	$9.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	37	$269.00	$171.14
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	24	$108.00	$30.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	24	$1969.44	$150.42
55700 Biopsy of prostate gland	23	23	$595.00	$229.36
76872 Ultrasound scan of pelvic region through rectum	22	22	$458.00	$131.73
50543 Partial removal of kidney using an endoscope	14	14	$5288.00	$1412.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$257.00	$127.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$140.00	$67.35
50545 Removal of kidney and lymph nodes using an endoscope	11	11	$4155.00	$1260.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	272	$120.00	$86.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	195	$175.00	$123.71
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	163	21	$826.00	$164.02
81003 Automated urinalysis test	128	105	$21.00	$2.23
J1580 Injection, garamycin, gentamicin, up to 80 mg	96	21	$3.91	$1.77
52000 Diagnostic exam of bladder and urethra using an endoscope	92	81	$640.00	$216.68
51798 Ultrasound measurement of bladder capacity after voiding	89	82	$111.00	$9.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	59	$80.00	$52.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$195.00	$105.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$275.00	$160.60
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	21	$108.00	$30.08
81002 Urinalysis, manual test	23	15	$22.00	$3.48
76872 Ultrasound scan of pelvic region through rectum	21	21	$458.00	$131.94
55700 Biopsy of prostate gland	21	21	$595.00	$238.40
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	18	$1744.79	$97.23
74420 Imaging of urinary tract	16	15	$94.00	$24.47
50543 Partial removal of kidney using an endoscope	16	16	$5288.00	$1478.03
36415 Insertion of needle into vein for collection of blood sample	13	12	$20.00	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$240.00	$173.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	297	$128.97	$71.43
81003 Automated urinalysis test	277	217	$17.25	$2.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	185	$187.97	$104.14
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	181	23	$631.48	$222.27
51798 Ultrasound measurement of bladder capacity after voiding	131	119	$88.81	$9.42
84153 Psa (prostate specific antigen) measurement, total	91	84	$80.00	$18.16
52000 Diagnostic exam of bladder and urethra using an endoscope	85	76	$572.47	$195.64
36415 Insertion of needle into vein for collection of blood sample	75	71	$14.80	$2.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$290.56	$157.28
J1580 Injection, garamycin, gentamicin, up to 80 mg	54	16	$3.63	$1.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$196.80	$102.70
87086 Bacterial colony count, urine	44	34	$30.00	$7.97
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	26	$86.40	$28.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$80.00	$43.24
81002 Urinalysis, manual test	32	31	$22.00	$3.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	29	26	$1058.14	$120.60
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	24	21	$34.00	$7.39
87088 Bacterial urine culture	19	17	$39.00	$8.00
74420 Imaging of urinary tract	18	15	$157.56	$24.04
55700 Biopsy of prostate gland	17	16	$576.88	$237.52
76000 Imaging guidance for procedure, 60 minutes or less	17	15	$150.00	$14.92
76872 Ultrasound scan of pelvic region through rectum	17	16	$383.65	$135.71
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$808.75	$276.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	463	357	$15.00	$2.41
99213 Established patient office or other outpatient visit, typically 15 minutes	429	346	$140.00	$70.43
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	228	26	$500.00	$226.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	179	$200.00	$102.49
84153 Psa (prostate specific antigen) measurement, total	171	139	$79.89	$20.03
51798 Ultrasound measurement of bladder capacity after voiding	148	121	$58.54	$11.72
36415 Insertion of needle into vein for collection of blood sample	134	117	$10.01	$2.94
52000 Diagnostic exam of bladder and urethra using an endoscope	113	100	$500.00	$178.45
87086 Bacterial colony count, urine	104	83	$30.00	$8.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$200.00	$101.06
J1580 Injection, garamycin, gentamicin, up to 80 mg	54	18	$3.20	$1.77
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	53	28	$72.00	$29.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$310.00	$156.17
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	51	46	$34.00	$7.51
87088 Bacterial urine culture	44	39	$39.00	$8.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$80.00	$42.63
76000 Imaging guidance for procedure, 60 minutes or less	40	33	$150.00	$14.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	27	$50.00	$15.85
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	22	$700.00	$144.57
80048 Blood test, basic group of blood chemicals (calcium, total)	22	20	$30.00	$9.21
74420 Imaging of urinary tract	21	20	$198.00	$25.28
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	18	$30.00	$8.46
74176 Ct scan of abdomen and pelvis without contrast	20	20	$600.00	$104.68
76872 Ultrasound scan of pelvic region through rectum	18	18	$268.89	$121.16
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$175.00	$54.43
55700 Biopsy of prostate gland	18	18	$551.00	$237.56
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	16	16	$927.00	$90.15
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2100.00	$672.78
50543 Partial removal of kidney using an endoscope	13	13	$3700.00	$1445.51
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1215.00	$357.95
50590 Shock wave crushing of kidney stones	12	11	$1700.00	$510.81
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$1100.00	$241.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	508	363	$14.73	$2.67
99213 Established patient office or other outpatient visit, typically 15 minutes	452	334	$139.97	$68.10
51798 Ultrasound measurement of bladder capacity after voiding	201	162	$59.58	$14.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	163	$199.16	$100.07
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	198	27	$500.00	$207.45
36415 Insertion of needle into vein for collection of blood sample	198	156	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	157	123	$80.00	$22.26
87086 Bacterial colony count, urine	110	86	$30.00	$9.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$201.62	$97.83
52000 Diagnostic exam of bladder and urethra using an endoscope	86	68	$500.37	$155.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	54	$80.25	$40.85
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	55	28	$72.00	$28.73
J1580 Injection, garamycin, gentamicin, up to 80 mg	54	18	$3.20	$1.44
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	49	42	$34.00	$8.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$310.21	$154.47
80048 Blood test, basic group of blood chemicals (calcium, total)	46	39	$30.00	$10.23
87077 Bacterial culture for aerobic isolates	30	26	$38.00	$9.77
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	26	$689.39	$129.86
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	26	24	$30.00	$9.40
74420 Imaging of urinary tract	25	22	$191.96	$16.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	21	$50.00	$19.18
76000 Imaging guidance for procedure, 60 minutes or less	22	22	$150.00	$8.25
87088 Bacterial urine culture	20	19	$39.00	$9.79
55700 Biopsy of prostate gland	18	18	$529.00	$234.61
76872 Ultrasound scan of pelvic region through rectum	18	18	$220.00	$90.93
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$175.00	$56.50
50590 Shock wave crushing of kidney stones	15	13	$1700.00	$537.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$196.00	$129.45
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1205.36	$356.59
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	13	13	$873.69	$162.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	553	365	$14.76	$3.01
99213 Established patient office or other outpatient visit, typically 15 minutes	448	319	$139.98	$68.44
36415 Insertion of needle into vein for collection of blood sample	177	128	$10.01	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	138	$200.07	$100.84
51798 Ultrasound measurement of bladder capacity after voiding	163	134	$59.06	$17.38
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	153	20	$500.00	$207.56
87086 Bacterial colony count, urine	135	96	$30.00	$10.85
84153 Psa (prostate specific antigen) measurement, total	132	96	$80.00	$24.73
52000 Diagnostic exam of bladder and urethra using an endoscope	92	79	$500.70	$153.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	62	$80.07	$40.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$200.70	$101.22
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	58	43	$34.00	$9.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$310.29	$154.13
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	50	22	$72.00	$30.17
J1580 Injection, garamycin, gentamicin, up to 80 mg	42	13	$3.20	$1.52
80048 Blood test, basic group of blood chemicals (calcium, total)	32	29	$30.00	$8.58
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	27	$1200.00	$139.50
87077 Bacterial culture for aerobic isolates	29	24	$38.00	$10.86
87088 Bacterial urine culture	29	23	$39.00	$10.88
80053 Blood test, comprehensive group of blood chemicals	29	13	$40.00	$13.98
84403 Testosterone (hormone) level, total	23	14	$110.00	$34.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	17	$50.00	$23.72
76000 Imaging guidance for procedure, 60 minutes or less	22	21	$150.00	$8.30
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	21	17	$30.00	$10.45
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	16	14	$850.00	$199.29
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$2100.00	$811.93
76872 Ultrasound scan of pelvic region through rectum	14	13	$220.00	$89.22
55700 Biopsy of prostate gland	14	13	$515.00	$232.35
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$175.00	$56.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$196.00	$129.98
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$600.00	$34.71

Medical Specialties & State Licenses

CMS Verified: 2022-11-16

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01071495A

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License AZ 37370

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201081540 (IN)

Medicaid State Provider ID

370244 (AZ)

Commercial Insurance / Payer ID Anthem

000000776371 (IN)

Commercial Insurance / Payer ID Railroad Medicare

P00869313 (AZ)

Hospital & Practice Group Affiliations

Parkview Health System Inc

11050 Parkview Circle Dr, Fort Wayne, IN 468451739

Phone: 2602662800

Practice Associates & Co-Workers

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

25 Associated Practitioners

Dr. Sable Locke , MD

Urology

NPI 1043630916

Doctor of Medicine (M.D.)

Megan Krom , FNP-C

Nurse Practitioner

NPI 1124773171

Family Nurse Practitioner (Certified)

Madelyn Boggs , PA

Physician Assistant

NPI 1124796792

Physician Assistant

Dr. Jorge Arzola , MD

Urology

NPI 1205856382

Doctor of Medicine (M.D.)

Dr. David Pollifrone , MD

Urology

NPI 1215901574

Doctor of Medicine (M.D.)

Felisha Kiehl , NP

Nurse Practitioner

NPI 1235692500

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location November 16, 2022

Registered at 11141 PARKVIEW PLAZA DR STE 325, FORT WAYNE, IN 468451714 (Tel: 2604255400)

📍

Updated Business Mailing Address November 16, 2022

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

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2020

Urology (License #37370 in AZ)

📍

Updated Business Mailing Address June 03, 2020

Registered at 3702 NEW VISION DR, BLDG B, FORT WAYNE, IN 468451703 (Tel: 2604366667)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2020

Urology (License #01071495A in IN)

✅

NPI Profile Active March 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 19, 2015

Registered at 2512 E DUPONT RD, STE 100, FORT WAYNE, IN 468251609 (Tel: 2604366667)

📍

Updated Business Mailing Address March 19, 2015

Registered at 2512 E DUPONT RD STE 100, FORT WAYNE, IN 468251609 (Tel: 2604366667)

👤

Provider Name / Credentials Updated March 19, 2015

Recorded as GEORGE MARTIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2015

Urology (License #01071495A in IN)

🟢

Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1841222452

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2006

Last Update: November 16, 2022

Sole Proprietor: No

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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).

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