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NORTHWEST INDIANA PODIATRY CLINIC LLC NPI 1922204106


NPI Information

NPI: 1922204106
Provider Name: NORTHWEST INDIANA PODIATRY CLINIC, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
7250 ARTHUR BLVD
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 736-2900
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NORTHWEST INDIANA PODIATRY CLINIC, LLC 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. NORTHWEST INDIANA PODIATRY CLINIC, LLC NPI is 1922204106. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7250 ARTHUR BLVD
MERRILLVILLE, IN
ZIP 46410-766
Phone: (219) 736-2900

The provider's authorized official is Fortunee Massuda .
The authorized official title is Medical Director & Ceo and has the following contact phone number (773) 233-3800.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 8/22/2020.


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
1213E00000XPodiatristINDIANAYes
2213EP0504XPodiatristPublic MedicineINDIANAX
3213ES0131XPodiatristFoot SurgeryINDIANAX
4213ER0200XPodiatristRadiologyINDIANAX
5213ES0103XPodiatristFoot & Ankle SurgeryINDIANAX
6213EP1101XPodiatristPrimary Podiatric MedicineINDIANAX
7211D00000XAssistant, PodiatricINDIANAX

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
15007670004OTHERINDIANADMEPOS
290001145OTHERINDIANABCBS OF IL # FOR IND

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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