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

Individual provider Anesthesiology Physician · NPI 1083604649

Robert C Hathaway, MD is an Anesthesiology in Fort Wayne, Indiana. Graduated from Indiana University School of Medicine in 1991, 35 years ago. Practices with Associated Anesthesiologists of Fort Wayne PC, a 102-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
35
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5734 Coventry Ln
Fort Wayne, IN 46804-7141
Phone: (260) 436-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01040359 (IN)

Record details

NPI number1083604649
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESOctober 29, 2007
Mailing addressPo Box 633260, Cincinnati, OH 45263-3260

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Associated Anesthesiologists Of Fort Wayne Pc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Wayne