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

Colon-Rectal Surgeons of Fort Wayne, PC

Organization Colon & Rectal Surgery Physician · NPI 1104026657

Colon-Rectal Surgeons of Fort Wayne, PC is a Colon & Rectal Surgery Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

7900 W Jefferson Blvd Ste 302
Fort Wayne, IN 46804-4128
Phone: (260) 435-1900
Fax: (260) 435-1800
Show map & directions

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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