NPI 1053845289

Jason a Santiago, MD

Practitioner Neurology with Special Qualifications in Child Neurology Physician Fort Wayne, IN

Practice location

Address: 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140
Phone: (260) 436-2416
Fax: (260) 436-9662
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (2)

Neurology with Special Qualifications in Child Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence 01088176A (IN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053845289
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2017
Record last updated: 14 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.