KENNETH P STUMPF


Address: 6626 E 75th St, Ste 500, Indianapolis, IN 46250-2805
Phone: 3176217584

KENNETH P STUMPF (NPI# 1629208103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629208103
Entity Type Individual
Full Name KENNETH P STUMPF
Credential D.P.M.
Practice Address 6626 E 75th St
Ste 500
Indianapolis
IN 46250-2805
Mailing Address 3077 E 98th St
Ste 100
Indianapolis
IN 46280-2940
Practice Telephone 3176217584
Practice Fax Number 3175745185
Mailing Telephone 3178432613
Mailing Fax Number 3175745185
Enumeration Date 2009-07-20
Last Update Date 2020-09-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 41000235A IN Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
07001125A IN Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN RAILROAD MEDICARE P01405428 01
IN 201082910 05
IN BCBS 768265 01
IN AETNA 9348862 01

Office Location

Street Address 6626 E 75TH ST
STE 500
City INDIANAPOLIS
State IN
Zip Code 46250-2805

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1659813590 Occupational Health Centers of The Southwest Pa Clinic/Center 8257 Center Run Rd, Indianapolis, IN 46250 2016-11-09
1194275669 Lucina Treatment Center, LLC Internal Medicine 8140 Castleton Rd, Indianapolis, IN 46250 2016-10-09
1609126150 Joseph Lee Deck Physical Therapist 7400 Jewel Lane, Indianapolis, IN 46250 2012-09-12
1447508254 Choices Coordinated Care Solutions, Inc. Clinic/Center 7941 Castleway Drive, Indianapolis, IN 46250 2012-08-28
1568719854 Lynda L. Blackwelder, LLC Marriage & Family Therapist 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 2012-08-06
1972859452 Courtney B. Cortez Nurse Practitioner 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 2012-08-02
1861761934 Kb Medical, Inc. Durable Medical Equipment & Medical Supplies 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 2011-12-20
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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
1285837773 Beech Grove Foot Care Inc Podiatrist 7855 S. Emerson Ave, Suite T, Indianapolis, IN 46237 2007-06-11
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
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Competitor

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City INDIANAPOLIS
Zip Code 46250

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Dataset Information

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.

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