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NPI Code Detail

MEDICARE: RYLEIGH COTTINGHAM PA-C

MEDICARE:   RYLEIGH  COTTINGHAM  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant10005201AIN

General Provider Information

NPI Number : 1760341432
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYLEIGH COTTINGHAM PA-C
Provider Business Mailing Address
First Line : 10515 ILLINOIS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46814-9182
Country : US
Telephone Number : 260-373-9200
Fax Number : 260-373-9219
Provider Business Practice Location Address
First Line : 10515 ILLINOIS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46814-9182
Country : US
Telephone Number : 260-373-9200
Fax Number : 260-373-9219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 04/30/2026

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Directions to “ RYLEIGH COTTINGHAM PA-C” Practice Location

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