Provider Type Icon

PODIATRIC MEDICAL ASSOCIATES PC NPI 1134237639


NPI Information

NPI: 1134237639
Provider Name: PODIATRIC MEDICAL ASSOCIATES PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
303 W 89TH AVE
SUITE E-1
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 736-8915
Get Directions

PODIATRIC MEDICAL ASSOCIATES PC is a podiatrist in Merrillville, IN. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PODIATRIC MEDICAL ASSOCIATES PC NPI is 1134237639. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

303 W 89TH AVE
SUITE E-1
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 736-8915
Fax: (219) 736-8928

The provider's authorized official is Stephen K Grandfield .
The authorized official title is President and has the following contact phone number (219) 736-8915.

The enumeration date for this NPI number is 8/26/2006 and was last updated on 12/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist07000353AINDIANANo
2213E00000XPodiatrist07000785AINDIANANo
3213E00000XPodiatrist07000922AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100000209276OTHERINDIANAANTHEM
2492470DMEDICARE ID-TYPE UNSPECIFIED
3492470EMEDICARE ID-TYPE UNSPECIFIED
4200326020MEDICAIDINDIANA
51089370001OTHERMEDICARE DMERC
6480032400OTHERRR MEDICARE
7U86309MEDICARE UPIN
8480016271OTHERRR MEDICARE
9T34864MEDICARE UPIN
10100207960MEDICAIDINDIANA
11000000084756OTHERINDIANAANTHEM
12000000084758OTHERINDIANAANTHEM
13480020342OTHERRR MEDICARE
14100148090MEDICAIDINDIANA
151089370001MEDICARE NSCINDIANA
16U43202MEDICARE UPIN
17492470AMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.