Provider Type Icon

RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS LLC NPI 1255496352


NPI Information

NPI: 1255496352
Provider Name: RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7910 W JEFFERSON BLVD
SUITE 300
FORT WAYNE, IN
ZIP 46804
Phone: (260) 969-1950
Get Directions

RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC is a foot and ankle surgery podiatrist in Fort Wayne, IN. RECONSTRUCTIVE FOOT & ANKLE SPECIALISTS, LLC NPI is 1255496352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7910 W JEFFERSON BLVD
SUITE 300
FORT WAYNE, IN
ZIP 46804-159
Phone: (260) 969-1950

The provider's authorized official is Jonathan V Norton .
The authorized official title is President and has the following contact phone number (260) 969-1950.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/4/2008.


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
1213ES0103XPodiatristFoot & Ankle Surgery07000881AINDIANAYes

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
15887650002MEDICARE NSCINDIANA
2200847960MEDICAIDINDIANA
35887650001MEDICARE NSCINDIANA
4DG4243MEDICARE PININDIANA
5200847960AMEDICAIDINDIANA
6251000MEDICARE PININDIANA

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: 4/28/2024

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.