THE FOOT AND ANKLE CENTER LLC (NPI# 1124099882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124099882 |
| Entity Type | Organization |
| Organization Name | THE FOOT AND ANKLE CENTER LLC |
| Practice Address |
2920 Mcintyre Dr Suite 100 Bloomington IN 47403-4221 |
| Practice Telephone | 8123361185 |
| Practice Fax Number | 8123363153 |
| Mailing Telephone | 8123361185 |
| Mailing Fax Number | 8123363153 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-11-20 |
| Authorized Official Name | MATTHEW PARMENTER (OWNER) |
| Authorized Official Telephone | 8123361185 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | DG1627 | 01 |
| Street Address |
2920 MCINTYRE DR SUITE 100 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265869 | Janis Farquhar Stevenson | Nurse Practitioner | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2005-09-14 |
| 1962685487 | Jennifer Long | Nurse Practitioner | 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221 | 2007-12-06 |
| 1356532113 | Bloomington Sleep Specialists, LLC | Internal Medicine | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2007-08-07 |
| 1982762415 | Wygonda Kay Rogers | Nurse Practitioner | 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221 | 2006-12-05 |
| 1699854745 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2006-11-02 |
| 1952487639 | Alice B Wood | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1609952332 | Andy J. Stafford | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1467538124 | Robert E Wrenn | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1629182233 | Monroe Surgical Associates | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2006-08-19 |
| 1205843323 | Quyen Ngoc Tran | Nurse Anesthetist, Certified Registered | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609947571 | Kevin J Powers, Dpm | Podiatrist | 719 W 2nd St, Bloomington, IN 47403-2209 | 2006-11-13 |
| 1790791416 | Gerald W Paul | Podiatrist | 3801 Ge Rd Ste 4, Bloomington, IL 61704 | 2006-08-01 |
| 1548216047 | Midstate Podiatry Associates Ltd | Podiatrist | 2708 Mcgraw Dr, Bloomington, IL 61704-6012 | 2006-05-26 |
| 1154388460 | Abel R Aguilar | Podiatrist | 1416 W Caber Ct, Bloomington, IN 47403-7906 | 2006-04-28 |
| 1235101619 | Brian L Hamm | Podiatrist | 2502 E Empire St, Bloomington, IL 61704-3738 | 2006-02-01 |
| 1780117671 | Foot Specialist LLC | Podiatrist | 1416 W Caber Ct, Bloomington, IN 47403-7906 | 2017-04-06 |
| 1437598596 | Stephanie Danielle Van Heerden | Podiatrist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2013-06-21 |
| 1902067291 | Heather Lynn Jensen | Podiatrist | 7920 Cedar Ave S, Bloomington, MN 55425 | 2008-06-19 |
| 1972620334 | Kevin Powers Dpm | Podiatrist | 2499 W Cota Dr, Bloomington, IN 47403-4217 | 2007-03-23 |
| 1285735712 | Kenneth Wesley Oglesby | Podiatrist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2006-09-26 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on THE FOOT AND ANKLE CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.