PROGRESSIVE FAMILY FOOT CARE PC NPI 1336336593

NPI Information

NPI: 1336336593
Provider Name: PROGRESSIVE FAMILY FOOT CARE PC

Doing Business As: DAVID F RAY DPM

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
966 W US HIGHWAY 30
SCHERERVILLE, IN
ZIP 46375
Phone: (219) 322-8894
Get Directions

PROGRESSIVE FAMILY FOOT CARE PC is a foot and ankle surgery podiatrist in Schererville, IN. PROGRESSIVE FAMILY FOOT CARE PC NPI is 1336336593. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As David F Ray Dpm.

The provider's business location address is:

966 W US HIGHWAY 30
SCHERERVILLE, IN
ZIP 46375-551
Phone: (219) 322-8894
Fax: (219) 322-0056

The provider's authorized official is David F Ray .
The authorized official title is Owner/physician and has the following contact phone number (219) 322-8894.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 12/29/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	07000703	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T97994	MEDICARE UPIN	INDIANA
2	626860	MEDICARE PIN	INDIANA
3	000000088054	OTHER	INDIANA	ANTHEM
4	61100087	OTHER	ILLINOIS	BLUE SHIELD OF IL
5	0241330001	MEDICARE NSC	INDIANA
6	480015806	OTHER	INDIANA	RAILROAD MEDICARE
7	100201670A	MEDICAID	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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