ORTHOPAEDICS NORTHEAST PC NPI 1629037353

NPI Information

  • NPI: 1629037353
  • Provider Name: ORTHOPAEDICS NORTHEAST, PC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 710 N EAST ST
    WABASH, IN
    ZIP 46992
  • Phone: (260) 484-8551

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NPI Details

ORTHOPAEDICS NORTHEAST, PC is a podiatrist in Wabash, 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. ORTHOPAEDICS NORTHEAST, PC NPI is 1629037353. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 N EAST ST
WABASH, IN
ZIP 46992-914
Phone: (260) 484-8551
Fax: (260) 484-9603

The provider's authorized official is Raymond Kusisto .
The authorized official title is Ceo and has the following contact phone number (260) 484-8551.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 9/11/2025.

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
1207X00000XOrthopaedic Surgery50001907AINDIANANo
2208100000XPhysical Medicine & Rehabilitation50001907AINDIANANo
3207L00000XAnesthesiology50001907INDIANANo
4213E00000XPodiatrist50001907AINDIANAYes

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: 11/21/2025

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