MAKE YOURSELF, LLC (NPI# 1174020549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174020549 |
| Entity Type | Organization |
| Organization Name | MAKE YOURSELF, LLC |
| Other Organization Name | SOLE SOURCE PODIATRY |
| Practice Address |
128 W 5th St Peru IN 46970-2139 |
| Practice Telephone | 7652447440 |
| Mailing Telephone | 7652447440 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | BRADLEY R HAMMERSLEY (OWNER) |
| Authorized Official Telephone | 7652447440 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
07000906A | IN | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Sole Source Podiatry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Make Yourself, LLC | P.o. Box 2232, Englewood, CO 80150 |
| Street Address |
128 W 5TH ST |
| City | PERU |
| State | IN |
| Zip Code | 46970-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192716 | Indiana Foot and Ankle Specialist LLC | Podiatrist | 2106 W Mcgalliard Rd, Muncie, IN 47304-2150 | 2020-10-21 |
| 1689805061 | Fredericka Alona Wilson | Podiatrist | 4010 W 86th St Ste A, Indianapolis, IN 46268-1779 | 2009-08-03 |
| 1801032248 | Parkview Health System, Inc. | Podiatrist | 306 Maumee St, Suite 2, Angola, IN 46703-2035 | 2009-01-06 |
| 1629214069 | Parkview Health System, Inc. | Podiatrist | 410 E. Mitchell St., Kendallville, IN 46755-1890 | 2009-01-06 |
| 1811142250 | Charles W. Kelley IIi D.p.m. | Podiatrist | 5602 Madison Ave, Indianapolis, IN 46227-4625 | 2008-11-26 |
| 1780846139 | Accredited Foot Surgeons | Podiatrist | 9007 Indianapolis Blvd, Suite B, Highland, IN 46322-2575 | 2008-06-26 |
| 1952523508 | Aboite Podiatry Associates PC | Podiatrist | 7559 West Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2007-05-03 |
| 1487749305 | John L Trench IIi | Podiatrist | 1216 Wabash Ave, Terre Haute, IN 47807-3312 | 2006-10-04 |
| 1770699522 | Gregory A Schweikher | Podiatrist | 2020 Union St Ste 100, Lafayette, IN 47904-2694 | 2006-08-22 |
| 1053424572 | Five Indiana Foot LLC | Podiatrist | 3700 Bellemeade Ave Ste 117, Suite 100, Evansville, IN 47714-0106 | 2006-08-17 |
| Find all providers with the same taxonomy | ||||
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| 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.