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MIDWEST FOOT & ANKLE LLC NPI 1285968867


NPI Information

NPI: 1285968867
Provider Name: MIDWEST FOOT & ANKLE LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
8240 NAAB RD
SUITE 360
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 297-3338
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MIDWEST FOOT & ANKLE LLC is a podiatrist in Indianapolis, 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. MIDWEST FOOT & ANKLE LLC NPI is 1285968867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8240 NAAB RD
SUITE 360
INDIANAPOLIS, IN
ZIP 46260-987
Phone: (317) 297-3338
Fax: (317) 297-9997

The provider's authorized official is Kirk S Holston .
The authorized official title is Owner and has the following contact phone number (317) 297-3338.

The enumeration date for this NPI number is 9/29/2009 and was last updated on 11/25/2009.


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
1213E00000XPodiatrist070000768AINDIANAYes

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
1224160MEDICARE PININDIANA
25392850003MEDICARE NSCINDIANA
3000000364508OTHERINDIANAANTHEM BCBS
45392850002MEDICARE NSCINDIANA
55392850004MEDICARE NSCINDIANA
6U38164MEDICARE UPININDIANA
70005497063OTHERINDIANAAETNA
8200527610BMEDICAIDINDIANA
9200527610AMEDICAIDINDIANA
105392850001MEDICARE NSCINDIANA

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

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