DARIN RICHARD SERLETIC (NPI# 1528040714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528040714 |
| Entity Type | Individual |
| Full Name | DARIN RICHARD SERLETIC |
| Credential | DPM |
| Practice Address |
7580 Peachwood Dr Newburgh IN 47630-2693 |
| Mailing Address |
Po Box 3276 Evansville IN 47731-3276 |
| Practice Telephone | 8128583800 |
| Practice Fax Number | 8126342778 |
| Mailing Telephone | 8124730181 |
| Mailing Fax Number | 8124735822 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2015-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07000795 | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200041270 | 05 | |
| IN | ANTHEM | 000000775782 | 01 |
| Street Address |
7580 PEACHWOOD DR |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730622945 | Patoka Valley Podiatry P.C. | Podiatrist | 7580 Peachwood Dr, Newburgh, IN 47630-2693 | 2016-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| 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 |
|---|---|---|---|---|
| 1598961815 | Helene Linda Freer | Podiatrist | 8 Grimm Rd, Newburgh, NY 12550-2813 | 2007-06-23 |
| 1124024732 | Drew Ames Richman | Podiatrist | 1418 Route 300, Ste 6, Newburgh, NY 12550-2994 | 2005-06-28 |
| 1730622945 | Patoka Valley Podiatry P.C. | Podiatrist | 7580 Peachwood Dr, Newburgh, IN 47630-2693 | 2016-11-21 |
| 1689058356 | Lorin Mickelsen Iv | Podiatrist | 4233 Gateway Blvd, Newburgh, IN 47630 | 2015-07-13 |
| 1629462635 | Tyler Tidwell | Podiatrist | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2015-03-27 |
| 1477959898 | Ronald H Gomez | Podiatrist | 147 Lake St, Newburgh, NY 12550-5263 | 2014-11-12 |
| 1427368034 | Hudson Valley Total Podiatric Surgical Care, PC | Podiatrist | 54 N Plank Rd, Newburgh, NY 12550-2116 | 2010-10-15 |
| 1104154897 | Newburgh Podiatry Pllc | Podiatrist | 450 Gidney Ave, Suite 3, Newburgh, NY 12550-3116 | 2009-11-18 |
| 1972788255 | Warren Altwerger | Podiatrist | 450 Gidney Ave, Newburgh, NY 12550-3116 | 2008-01-04 |
| 1891861035 | Brandt L Dodson | Podiatrist | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2006-11-28 |
| Find all providers in NEWBURGH | ||||
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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.