BEECH GROVE FOOT CARE INC (NPI# 1285837773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285837773 |
Entity Type | Organization |
Organization Name | BEECH GROVE FOOT CARE INC |
Other Organization Name | INDY SOUTH FOOT & ANKLE |
Practice Address |
7855 S. Emerson Ave Suite T Indianapolis IN 46237 |
Mailing Address |
7855 S Emerson Ave Suite T Indianapolis IN 46237-8668 |
Practice Telephone | 3173000106 |
Practice Fax Number | 3174978383 |
Mailing Telephone | 3173000106 |
Mailing Fax Number | 3174978383 |
Enumeration Date | 2007-06-11 |
Last Update Date | 2016-08-16 |
Authorized Official Name | DR. JEFFREY STEVENS (PODIATRIST) |
Authorized Official Telephone | 3173000106 |
Authorized Official Credential | D.P.M. |
Is Organization Subpart | Y |
Parent Organization Name | INDY SOUTH FOOT & ANKLE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 07000694A | IN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | BCBS/ANTHEM PROV # | 87821 | 01 |
IN | MEDICARE RAILROAD | CB3164 | 01 |
Other Name | Type Code |
---|---|
Indy South Foot & Ankle | Other Name - Individual/Organization |
Street Address |
7855 S. EMERSON AVE SUITE T |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
Find all providers in zip 46237 |
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 |
---|---|---|---|---|
1194107607 | Mark Wavrunek | Podiatrist | 161 Washington Pointe Dr, Indianapolis, IN 46229-2693 | 2015-06-19 |
1639300486 | Paul M Kanter | Podiatrist | 348 Woodrow Ave, Indianapolis, IN 46241-0828 | 2009-07-28 |
1629208103 | Kenneth P Stumpf | Podiatrist | 6626 E 75th St, Ste 500, Indianapolis, IN 46250-2805 | 2009-07-20 |
1992960124 | Eugenia C Malenkos | Podiatrist | 1410 West 10th Street, Indianapolis, IN 46202-1616 | 2008-07-28 |
1740457555 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3388 Founders Rd, Suite C, Indianapolis, IN 46268-1443 | 2008-05-12 |
1093988263 | Jeremy Patrick Spaulding | Podiatrist | 8128 E Washington St, Indianapolis, IN 46219-6814 | 2008-04-09 |
1306018767 | Robert S. Mandresh Dpm PC Inc | Podiatrist | 8330 Naab Rd Ste 135, Indianapolis, IN 46260-1932 | 2008-03-26 |
1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
1447329826 | Thomas Wayne Zunica | Podiatrist | 3901 Meadows Dr, Indianapolis, IN 46205-3113 | 2006-11-07 |
1083710099 | Mark Howard Schlichter | Podiatrist | 7412 Rockville Rd, Ste. A, Indianapolis, IN 46214-3097 | 2006-09-16 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46237 |
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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.