NPIMap

Organization Active NPI

Dale H Aeschliman MD Inc

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1154721876
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01025296 Issued in IN
Legal business name
DALE H AESCHLIMAN MD INC
Practice address
5717 S Anthony Blvd
Suite 600
Fort Wayne, IN 46806-3386
Phone
(260) 441-3253
Fax
(260) 441-3214
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dale H. Aeschliman, M.D.
Title
President
Phone
(260) 441-3253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01025296 IN Primary

Addresses

Primary practice location

5717 S Anthony Blvd
Suite 600
Fort Wayne, IN 46806-3386

Mailing address

5717 S Anthony Blvd
Suite 600
Fort Wayne, IN 46806-3386
Phone (260) 441-3253

National Provider Directory

National Provider Directory

Locations

5717 S Anthony Blvd
#600
Fort Wayne, IN 46806
Phone (260) 441-3253

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1154721876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 S ANTHONY BLVD",
            "address_2": "SUITE 600",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468063386",
            "telephone_number": "260-441-3253",
            "fax_number": "260-441-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 S ANTHONY BLVD",
            "address_2": "SUITE 600",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468063386",
            "telephone_number": "260-441-3253",
            "fax_number": "260-441-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE H AESCHLIMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "AESCHLIMAN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-441-3253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01025296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.