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Stanley James Votaw , PHARMACIST

Physician • Fort Wayne, IN

Active NPI 1407869787 Individual Practitioner Male Practitioner
Practice location in NPPES

2121 Lake Ave
Fort Wayne, IN 468055100

Call 2604265431 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2121 Lake Ave

Fort Wayne, IN 468055100

Telephone 2604265431
Organization at the Same NPPES Address or Phone
Marion Vamc Facility NPI 1427016369

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Special Hospital Primary Specialty

NUCC Taxonomy Code: 284300000X

License # reported to NPPES IN 26014636

A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Mohsin Hasnain , MD

Internal Medicine

NPI 1093779829

Doctor of Medicine (M.D.)

Dr. Aaron Nelson , DO

Anesthesiology - Pain Medicine

NPI 1104900323

Doctor of Osteopathic Medicine (D.O.)

NPI 1124021100

Doctor of Podiatric Medicine

Dr. Elmer Toliver , MD

Emergency Medicine

NPI 1053398552

Doctor of Medicine (M.D.)

Dr. Rajesh Verma , MD

Psychiatry & Neurology - Neurology

NPI 1033150883

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated August 15, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1407869787
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1040 Twin Lakes Dr

Decatur, IN 467332610

Phone: 2607243325

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.