Individual provider · Type 1 NPI

Mark Koehl, PA

Physician Assistant · Fort Wayne, IN

NPI number 1780564435 Active

Practice location

1721 Magnavox Way
Fort Wayne, IN 46804-1537

Call (260) 748-3650 Map

Mailing address

1721 Magnavox Way Ste B
Fort Wayne, IN 46804-1537

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780564435

Mark Koehl, PA's National Provider Identifier is 1780564435, issued on Sep 4, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 4, 2025.