Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Indiana Colon Rectal Surgeons PC

Organization Colon & Rectal Surgery Physician · NPI 1912998014

Northeast Indiana Colon Rectal Surgeons PC provides Colon & Rectal Surgery Physician services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
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

11141 Parkview Plaza Dr Ste 310
Fort Wayne, IN 46845-1701 Not confirmed with CMS for 18 years — call before visiting
Phone: (260) 489-8898
Fax: (260) 373-4695
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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 · Licence 50004032A (IN)

Record details

NPI number1912998014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Raiman — Owner/Practitioner · (260) 489-8898
NPI enumeratedOctober 31, 2005
Last updated in NPPESFebruary 28, 2008
Mailing address11141 Parkview Plaza Dr, Suite 310, Fort Wayne, IN 46845-1701

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