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

Northeast Indiana Colon Rectal Surgeons, PC

Organization Colon & Rectal Surgery Physician · NPI 1255322244

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

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

7910 W Jefferson Blvd Ste 212
Fort Wayne, IN 46804-4159
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

Record details

NPI number1255322244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Raiman — Owner/Practitioner · (260) 489-8898
NPI enumeratedOctober 31, 2005
Last updated in NPPESAugust 22, 2020
Mailing address7910 W Jefferson Blvd, Suite 212, Fort Wayne, IN 46804-4159

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