Provider Demographics
NPI:1093746851
Name:ARGUS, WILLIAM A (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:ARGUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7030 POINTE INVERNESS WAY
Mailing Address - Street 2:STE. 240
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-7930
Mailing Address - Country:US
Mailing Address - Phone:260-436-5600
Mailing Address - Fax:260-436-6583
Practice Address - Street 1:7030 POINTE INVERNESS WAY
Practice Address - Street 2:STE 240
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-7930
Practice Address - Country:US
Practice Address - Phone:260-436-5600
Practice Address - Fax:260-436-6583
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01031118A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100081500 AMedicaid
IN912670Medicare ID - Type UnspecifiedBLUFFTON
IN100081500 AMedicaid
IND 95699Medicare UPIN
IN136470Medicare ID - Type Unspecified