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Contact Information

MATTHEW W BEUCHEL, MD
7601 W JEFFERSON BLVD
FORT WAYNE, IN46804-4133
 Phone: 260-436-8686
 Fax: 260-436-8585
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MATTHEW W BEUCHEL · (Male)

NPI Number 1306075742
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2009
Last updated 11/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01075091A
  • WA License # MD60440572
  • IN Medicaid 201289140
  • OH Medicaid 0135798
  • WA Medicaid 1306075742
  • Other 000000939417 ANTHEM
  • IN Other 000000939417 ANTHEM
Hospital affiliation(s)
  • LUTHERAN HOSPITAL OF INDIANA - (Acute Care)
    7950 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
  • THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR - (Acute Care)
    7952 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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