NORTHEAST FOOT & ANKLE CLINIC INC (NPI# 1497958946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497958946 |
| Entity Type | Organization |
| Organization Name | NORTHEAST FOOT & ANKLE CLINIC INC |
| Practice Address |
2510 E Dupont Rd Ste. 234 Fort Wayne IN 46825-1600 |
| Practice Telephone | 2604160070 |
| Practice Fax Number | 2604160017 |
| Mailing Telephone | 2604160070 |
| Mailing Fax Number | 2604160017 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | MICHAEL S WORPELL (OWNER PHYSICIAN) |
| Authorized Official Telephone | 2604160070 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07000957A | IN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2510 E DUPONT RD STE. 234 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838321 | Althea J. Jackson | Obstetrics & Gynecology | 2510 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1600 | 2005-08-16 |
| 1821459413 | Kids.healthcare PC | Pediatrics | 2510 E Dupont Rd, Suite 238, Fort Wayne, IN 46825-1600 | 2016-03-10 |
| 1992166490 | Lisa Tucker | Nurse Practitioner | 2510 E Dupont Rd, Suite 238, Fort Wayne, IN 46825-1600 | 2016-03-10 |
| 1447634449 | Associated Surgeons and Physicians, LLC | Pediatrics | 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601 | 2015-07-20 |
| 1124459276 | Fw Interventional Pain Management LLC | Anesthesiology | 2510 E Dupont Rd, Suite 115, Fort Wayne, IN 46825-1600 | 2013-11-27 |
| 1396080156 | T-med Services, Inc | Psychologist | 2510 E Dupont Rd, Suite 201, Fort Wayne, IN 46825-1601 | 2012-12-05 |
| 1326222480 | Daniel E. Krach, M.d. | Eyewear Supplier (Equipment, not the service) | 2510 E Dupont Rd, Suite 128, Fort Wayne, IN 46825-1600 | 2007-12-26 |
| 1013078351 | Osita Victor Ezeakudo | Pediatrics | 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601 | 2006-12-12 |
| 1700809175 | Arnold Brill | Specialist | 2510 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2006-07-25 |
| 1558314039 | Three Rivers Surgical Associates, LLC | Surgery | 2510 E Dupont Rd, Suite 210, Fort Wayne, IN 46825-1600 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| 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 |
|---|---|---|---|---|
| 1417337353 | Hazim Ibrahim | Podiatrist | 7527 Thoroughbred Dr Apt 3d, Fort Wayne, IN 46804 | 2015-06-05 |
| 1760683593 | Toes R Us, Inc. | Podiatrist | 6200 Bluffton Rd, Fort Wayne, IN 46809-2260 | 2007-05-30 |
| 1871605147 | Dennis John Chubinski | Podiatrist | 8028 Carnegie Blvd., 400, Fort Wayne, IN 46804-5788 | 2006-08-31 |
| 1114956844 | David K Wysong | Podiatrist | 3012 E State Blvd, Fort Wayne, IN 46805-4737 | 2006-07-03 |
| 1235182643 | Richard M. Hilker, Dpm, P.C. | Podiatrist | 10323 Dawsons Creek Blvd, Bldg. 10-c, Fort Wayne, IN 46825-1910 | 2006-05-18 |
| 1134104474 | Lynn H Stafford | Podiatrist | 7559 W Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2005-12-09 |
| 1487637377 | Richard M Hilker | Podiatrist | 10323 Dawsons Creek, Bldg 10 C, Fort Wayne, IN 46825-1910 | 2005-11-23 |
| 1508867177 | Gary Michael Torkeo | Podiatrist | 4011 W Jefferson Blvd, Suite 175, Fort Wayne, IN 46804-6853 | 2005-08-09 |
| 1346247061 | Michael Steven Worpell | Podiatrist | 1234 E Dupont Rd, 2 1, Fort Wayne, IN 46825-1545 | 2005-07-07 |
| 1760486393 | Lincoln Pedic Clinic, Inc. | Podiatrist | 12311 Autumn Breeze Dr, Fort Wayne, IN 46845-9111 | 2005-06-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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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.