Active NPI
Paul Arthur Reszel, MD
- Orthopaedic Surgery Physician
- Fort Wayne, IN
National Provider Identifier
1861774838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01063269A
- Practice address
- 1618 Autumn Run
Fort Wayne, IN 46845-8884 - Phone
- (226) 063-7105
- NPI assigned
- Sep 15, 2011
- Last updated
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01063269A | IN | Primary |
Addresses
Primary practice location
1618 Autumn Run
Fort Wayne, IN 46845-8884
Mailing address
1618 Autumn Run
Fort Wayne, IN 46845-8884
Phone (226) 063-7105
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01063269A | IN | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1861774838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 AUTUMN RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468458884",
"telephone_number": "226-063-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 AUTUMN RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468458884",
"telephone_number": "226-063-7105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESZEL",
"first_name": "PAUL",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01063269A",
"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 Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.