WYATT JEFFRY GOTTSCHALK NPI 1639989379

NPI Information

  • NPI: 1639989379
  • Provider Name: WYATT JEFFRY GOTTSCHALK
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 608 UNION CHAPEL RD
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 248-7711

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NPI Details

Wyatt Jeffry Gottschalk is a physician assistant in Fort Wayne, IN. The provider is 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Wyatt Jeffry Gottschalk NPI is 1639989379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

608 UNION CHAPEL RD
FORT WAYNE, IN
ZIP 46845-357
Phone: (260) 248-7711

The enumeration date for this NPI number is 1/13/2025 and was last updated on 1/13/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantYes

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: 3/30/2025

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