| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1255322244 | NORTHEAST INDIANA COLON RECTAL SURGEONS, P.C. | 7910 W JEFFERSON BLVD | FORT WAYNE | IN | 468044159 | |||
| 1912998014 | NORTHEAST INDIANA COLON RECTAL SURGEONS PC | 11141 PARKVIEW PLAZA DR | FORT WAYNE | IN | 468451701 |