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NORTHEAST INDIANA COLON RECTAL SURGEONS P.C. NPI 1255322244


NPI Information

NPI: 1255322244
Provider Name: NORTHEAST INDIANA COLON RECTAL SURGEONS, P.C.
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
7910 W JEFFERSON BLVD
SUITE 212
FORT WAYNE, IN
ZIP 46804
Phone: (260) 489-8898
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NORTHEAST INDIANA COLON RECTAL SURGEONS, P.C. is a colon rectal surgery in Fort Wayne, IN. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NORTHEAST INDIANA COLON RECTAL SURGEONS, P.C. NPI is 1255322244. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7910 W JEFFERSON BLVD
SUITE 212
FORT WAYNE, IN
ZIP 46804-159
Phone: (260) 489-8898
Fax: (260) 373-4695

The provider's authorized official is Paul J. Raiman .
The authorized official title is Owner/practitioner and has the following contact phone number (260) 489-8898.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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