ADVANCED FOOT & ANKLE CENTER LLC NPI 1972875854

NPI Information

  • NPI: 1972875854
  • Provider Name: ADVANCED FOOT & ANKLE CENTER LLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 111 BOYD CIR
    MICHIGAN CITY, IN
    ZIP 46360
  • Phone: (219) 405-3775

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NPI Details

ADVANCED FOOT & ANKLE CENTER LLC is a foot and ankle surgery podiatrist in Michigan City, IN. ADVANCED FOOT & ANKLE CENTER LLC NPI is 1972875854. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 BOYD CIR
MICHIGAN CITY, IN
ZIP 46360-016
Phone: (219) 405-3775
Fax: (219) 405-3775

The provider's authorized official is Cynthia Grundy .
The authorized official title is Doctor and has the following contact phone number (219) 405-3775.

The enumeration date for this NPI number is 2/7/2012 and was last updated on 9/12/2019.

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
1213ES0103XPodiatristFoot & Ankle Surgery07000941AINDIANAYes

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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