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PODIATRIC MEDICAL ASSOCIATES PC NPI 1427172014


NPI Information

NPI: 1427172014
Provider Name: PODIATRIC MEDICAL ASSOCIATES PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6916 W JOHNSON RD
LA PORTE, IN
ZIP 46350
Phone: (219) 874-2939
Get Directions

PODIATRIC MEDICAL ASSOCIATES PC is a foot and ankle surgery podiatrist in La Porte, IN. PODIATRIC MEDICAL ASSOCIATES PC NPI is 1427172014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6916 W JOHNSON RD
LA PORTE, IN
ZIP 46350-247
Phone: (219) 874-2939
Fax: (219) 874-5922

The provider's authorized official is James C Meade .
The authorized official title is Managing Partner and has the following contact phone number (219) 874-2939.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 6/23/2011.


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 SurgeryINDIANAYes

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
11089370002MEDICARE NSCINDIANA
2213580MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE NUMBER
3213580MEDICARE PININDIANA
41089370002OTHERINDIANADMERC

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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