Dale H Aeschliman (NPI# 1902894173, PAC ID# 6507956752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1902894173 |
| PAC ID by PECOS | 6507956752 |
| Professional Enrollment ID | I20071212000416 |
| Full Name | Dale H Aeschliman |
| Address |
5717 S Anthony Blvd Suite 600 Fort Wayne IN 46806-3394 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150047 | ST JOSEPH HOSPITAL |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 151330 | ADAMS MEMORIAL HOSPITAL |
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150101 | PARKVIEW WHITLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5717 S Anthony Blvd, Suite 600, Fort Wayne, IN 46806-3394 |
| Street Address |
5717 S ANTHONY BLVD SUITE 600 |
| City | FORT WAYNE |
| State | IN |
| Zip | 46806-3394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kanika Jaggi | Family Medicine | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 800, Fort Wayne, IN 46806-3393 |
| Lily Kwatampora | Endocrinology | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 200, Fort Wayne, IN 46806-3300 |
| Richard M Hilker | Podiatry | Richard M. Hilker, Dpm, P.C. | 5717 S Anthony Blvd, Suite 600, Fort Wayne, IN 46806-3394 |
| Shelby Ann Kenner | Family Medicine | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 100, Fort Wayne, IN 46806-3303 |
| Hector F Perez | Family Medicine | 5717 S Anthony Blvd, Suite 500, Fort Wayne, IN 46806-3300 | |
| Loretta L Bazur-persing | Nurse Practitioner | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 200, Fort Wayne, IN 46806-3300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda Davis | Clinical Social Worker | Park Center Inc | 2700 Lafayette St, Fort Wayne, IN 46806-1100 |
| Benny Fair Jr. | Podiatry | 2700 Lafayette St, Suite 100, Fort Wayne, IN 46806-1100 | |
| Deborah S Baker | Nurse Practitioner | Park Center Inc | 2700 Lafayette St, Fort Wayne, IN 46806-1100 |
| City | FORT WAYNE |
| Zip Code | 46806 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT WAYNE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dale H Aeschliman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.