Individual provider · Type 1 NPI

Sam Rhoades, PA-C

Physician Assistant · Fort Wayne, IN

NPI number 1619691748 Active

Practice location

11104 Parkview Circle Dr Ste 330
Fort Wayne, IN 46845-1674

Call (260) 494-3484 Map

Fax (260) 969-0188

Mailing address

120 W 22nd St
Oak Brook, IL 60523-1557

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10003816A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619691748

Sam Rhoades, PA-C's National Provider Identifier is 1619691748, issued on Oct 3, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 4, 2025.