Active NPI
William J. Aeschliman, M.D.
- Family Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1528043056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01026984A
- Practice address
- 10515 Illinois Rd
Fort Wayne, IN 46814-9182 - Phone
- (260) 373-9200
- Fax
- (260) 373-9219
- NPI assigned
- Dec 7, 2005
- Last updated
- Mar 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01026984A | IN | Primary |
Addresses
Primary practice location
10515 Illinois Rd
Fort Wayne, IN 46814-9182
Mailing address
1234 E Dupont Rd
Fort Wayne, IN 46825-1545
Phone (260) 373-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Medical Education Program | Family Medicine | Past | Accepting new patients |
| Parkview Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Family Medicine Center
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1184635153
-
- Trauma Surgery Physician
- Fort Wayne, IN
- NPI 1669576997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1528043056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251545",
"telephone_number": "260-373-9700",
"fax_number": "260-373-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 ILLINOIS RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468149182",
"telephone_number": "260-373-9200",
"fax_number": "260-373-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AESCHLIMAN",
"first_name": "WILLIAM",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01026984A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.