Podiatrist
ORTHOPAEDICS NORTHEAST PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1801856349 · enumerated 2006-03-27 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: RAYMOND KUSISTO, CEO · (260) 484-8551
Addresses and phones
- Mailing address 5050 N CLINTON ST, FORT WAYNE, IN, 46825-5822 (260) 484-8551 Fax (260) 484-9603 Google Maps Apple Maps OpenStreetMap
- Practice location 1381 N WAYNE ST, ANGOLA, IN, 46703-2348 (260) 484-8551 Fax (260) 484-9603 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · License 50001907A IN
- Anesthesiology 207L00000X · License 50001907A IN
- Physical Medicine & Rehabilitation 208100000X · License 50001907 IN
- Podiatrist 213E00000X · Primary · License 50001907A IN
In this directory
Locations and evidence
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Practice location
ANGOLA, IN, 467032348
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.