THE INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY LLC NPI 1932395464

NPI Information

NPI: 1932395464
Provider Name: THE INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
9239 BROADWAY
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 736-1010
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THE INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY, LLC is a foot and ankle surgery podiatrist in Merrillville, IN. THE INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY, LLC NPI is 1932395464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9239 BROADWAY
MERRILLVILLE, IN
ZIP 46410-046
Phone: (219) 736-1010
Fax: (219) 736-1090

The provider's authorized official is Ahmad Kassem Elsamad .
The authorized official title is Podiatrist and has the following contact phone number (219) 488-6409.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 7/24/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	07001024A	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
1	200824830A	MEDICAID	INDIANA
2	253410	MEDICARE PIN	INDIANA
3	6157100001	MEDICARE NSC	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: 4/28/2024

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