Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Colon-Rectal Surgeons of Fort Wayne, PC

Organization Colon & Rectal Surgery Physician · NPI 1104026657

Colon-Rectal Surgeons of Fort Wayne, PC provides Colon & Rectal Surgery Physician services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7900 W Jefferson Blvd Ste 302
Fort Wayne, IN 46804-4128 Not confirmed with CMS for 19 years — call before visiting
Phone: (260) 435-1900
Fax: (260) 435-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X (IN)

Record details

NPI number1104026657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Hauschild — Business Manager · (260) 609-3734
NPI enumeratedJuly 23, 2007
Last updated in NPPESJuly 23, 2007
Mailing address7900 W Jefferson Blvd, Suite 302, Fort Wayne, IN 46804-4128

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