Individual provider · Type 1 NPI

Mary Ellen L. Strock

Physician Assistant · Fort Wayne, IN

NPI number 1760335368 Active

Practice location

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733

Fax (260) 452-5972

Mailing address

416 E Maumee St
Angola, IN 46703-2015

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10005258A (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 1760335368

Mary Ellen L. Strock's National Provider Identifier is 1760335368, issued on Feb 16, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 30, 2026.