William J. Aeschliman, M.D.
Individual provider Active NPI Family Medicine Physician · Fort Wayne, IN
NPI 1528043056 · NPPES record last updated Mar 25, 2013
Key facts
- NPI
- 1528043056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01026984A (IN)
- Practice address
- 10515 Illinois Rd
Fort Wayne, IN 46814-9182 - Phone
- (260) 373-9200
- Fax
- (260) 373-9219
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01026984A | IN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000239210 10 | Other | UNITED HEALTHCARE | |
| 4204133 | Other | AETNA | |
| 000000111792 | Other | IN | ANTHEM |
| 100354510 | Medicaid | IN | |
| 1015 | Other | IN | PHYSICIANS HEALTH PLAN |
| 3937240015 | Other | IN | MEDICARE DMEPOS |
Other providers in Fort Wayne, IN
- Advocare, LLC
- Advocate Home Health and Hospice LLC
- Aegis Dental Group Fort Wayne, LLC
- Aegis Group Practice LLC
- Dale Hilmer Aeschliman
- Aesthetic Medicine Consulting PC
- Affordable Dentures - Fort Wayne, P.C.
- Affordable Dentures - Fort Wayne, P.C.
- Affordable Dentures & Implants - Fort Wayne II, P.C.
- Affordable Dentures & Implants - Fort Wayne III, P.C.
All providers in Fort Wayne, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.