DR. STEPHANIE DANIELLE VAN HEERDEN (NPI# 1437598596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437598596 |
Entity Type | Individual |
Full Name | DR. STEPHANIE DANIELLE VAN HEERDEN |
Other Name | DR. STEPHANIE DANIELLE GILES |
Credential | D.P.M. |
Practice Address |
583 S Clarizz Blvd Bloomington IN 47401-5515 |
Practice Telephone | 8123556933 |
Practice Fax Number | 8123556958 |
Mailing Telephone | 8123556933 |
Mailing Fax Number | 8123556958 |
Enumeration Date | 2013-06-21 |
Last Update Date | 2019-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 07001250B | IN | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
07001250A | IN | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC006699 | PA | Podiatric Medicine & Surgery Service Providers |
Street Address |
583 S CLARIZZ BLVD |
City | BLOOMINGTON |
State | IN |
Zip Code | 47401-5515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619958782 | Jayne Crescimbeni-pierce | Nurse Practitioner | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2005-11-07 |
1407404866 | Jenna Grile | Registered Nurse | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2019-08-29 |
1770038069 | Supriya Kairamkonda | Psychiatry & Neurology | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2016-08-17 |
1336511591 | Ryan Taylor | Physical Therapist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2015-10-28 |
1063815389 | Laurie Susan Allen | Occupational Therapist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2014-10-01 |
1427476696 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2014-04-03 |
1477875938 | Mehyar Mehrizi | Psychiatry & Neurology | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2010-02-24 |
1518198639 | Gene Devane | Podiatrist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2009-08-06 |
1316173727 | Jennifer Black | Physician Assistant | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2009-06-01 |
1932364288 | Tarek Sibai | Orthopaedic Surgery | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2008-07-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
Find all providers in zip 47401 |
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 |
1174020549 | Make Yourself, LLC | Podiatrist | 128 W 5th St, Peru, IN 46970-2139 | 2018-04-11 |
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 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 47401 |
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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.