STEPHEN M OFFUTT (NPI# 1700889102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700889102 |
| Entity Type | Individual |
| Full Name | STEPHEN M OFFUTT |
| Credential | DPM |
| Practice Address |
8780 Purdue Rd Suite # 7 Indianapolis IN 46268-6129 |
| Practice Telephone | 3174718701 |
| Practice Fax Number | 3174718702 |
| Mailing Telephone | 3174718701 |
| Mailing Fax Number | 3174718702 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2014-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0700991A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | STATE LICENSE | 07000991A | 01 |
| IN | RAILROAD MEDICARE | P01287668 | 01 |
| IN | CAQH | 11267445 | 01 |
| IN | 200958540 | 05 | |
| IN | STATE DEA | 07000991B | 01 |
| IN | 200268880E | 05 | |
| FEDERAL DEA | BO9015682 | 01 |
| Street Address |
8780 PURDUE RD SUITE # 7 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46268-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417291808 | Lucinda Geis Dunaway | Internal Medicine | 8780 Purdue Rd, Suite # 7, Indianapolis, IN 46268-6129 | 2012-11-26 |
| 1275716714 | Shuyan Wang | Internal Medicine | 8780 Purdue Rd, Suite 7, Indianapolis, IN 46268-6129 | 2007-12-06 |
| 1134335318 | Elton Amos | Family Medicine | 8780 Purdue Rd, Suite # 7, Indianapolis, IN 46268-6129 | 2007-05-15 |
| 1811030885 | Marilyn J Dargis | Personal Emergency Response Attendant | 8780 Purdue Rd, Suite # 7, Indianapolis, IN 46268-6129 | 2007-02-15 |
| 1770667396 | Richard Passey | Emergency Medicine | 8780 Purdue Rd, Suite 7, Indianapolis, IN 46268-6129 | 2006-10-24 |
| 1932110798 | Elizabeth A. Brater | Family Medicine | 8780 Purdue Rd, Suite 7, Indianapolis, IN 46268-6129 | 2006-08-10 |
| 1831136878 | Thomas William Alley | Emergency Medicine | 8780 Purdue Rd, Suite 7, Indianapolis, IN 46268-6129 | 2006-05-31 |
| 1760459713 | Susan K Kindig | Internal Medicine | 8780 Purdue Rd, Ste 7, Indianapolis, IN 46268-6129 | 2006-03-08 |
| 1295705416 | William E Kelley | Internal Medicine | 8780 Purdue Rd, Suite 7, Indianapolis, IN 46268-6129 | 2006-01-23 |
| 1285620732 | Bryan E Hendrix | Orthopaedic Surgery | 8780 Purdue Rd, Suite # 7, Indianapolis, IN 46268-6129 | 2005-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116552 | Advantage Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 7710 Moller Rd, Indianapolis, IN 46268 | 2018-03-01 |
| 1285132324 | Seth Cochrill | Orthotist | 3445 W. 96th St., Indianapolis, IN 46268 | 2018-01-23 |
| 1902323371 | Erica Outlaw | Behavioral Analyst | 7732 Bancaster Drive, Indianapolis, IN 46268 | 2017-08-27 |
| 1649518135 | Phlebotomy Connection, LLC | Clinical Medical Laboratory | 3806 West 86th St, Suite B, Indianapolis, IN 46268 | 2013-01-18 |
| 1124377924 | Planned Parenthood of Indiana Georgetown | Clinic/Center | 8590 Georgetown Rd., Indianapolis, IN 46268 | 2012-09-07 |
| 1255621561 | National Mentor Healthcare, LLC | Custodial Care Facility | 2815 Spring Meadow Ct, Indianapolis, IN 46268 | 2011-04-08 |
| 1306009485 | Augusta Dental Office, P.C. | Dentist | 7141 N. Michigan Rd, Indianapolis, IN 46268 | 2008-07-08 |
| 1326242058 | Cletis R Foster | Dentist | 3810 W 86th Street, Indpls, IN 46268 | 2007-06-14 |
| 1871717041 | Home Health Care Services LLC | Home Health | 5455 West 86th Street, Ste 200, Indianapolis, IN 46268 | 2007-04-12 |
| 1699895995 | Preferred Dental Care, PC | Dentist | 8280 North Michigan Rd, Suite A, Indianapolis, IN 46268 | 2007-03-30 |
| Find all providers in zip 46268 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853873 | Hoosier Foot & Ankle LLC | Podiatrist | 7412 Rockville Rd Ste A, Indianapolis, IN 46214-3098 | 2017-10-25 |
| 1952830499 | Britney Ann Wenig | Podiatrist | 10122 E 10th St Ste 250, Indianapolis, IN 46229-2663 | 2017-06-08 |
| 1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
| 1831436575 | Central Indiana Podiatry, PC | Podiatrist | 7098 N Shadeland Ave, Indianapolis, IN 46220-4273 | 2013-01-15 |
| 1952657157 | Alona Foot and Ankle, P.C. | Podiatrist | 3026 Tinkersfield Ln, Indianapolis, IN 46214-1601 | 2012-07-25 |
| 1740547769 | Mieasha Hicks Barksdale | Podiatrist | 1801 Senate Blvd Ste 610, Indianapolis, IN 46202 | 2012-04-15 |
| 1992986582 | Bradford Samuel Legge | Podiatrist | 5471 Georgetown Rd Ste C, Indianapolis, IN 46254-5794 | 2007-11-25 |
| 1568518314 | Irwin B. Malament Dpm A Professional Corporation | Podiatrist | 3410 N High School Rd Ste C, Indianapolis, IN 46224-1100 | 2007-01-26 |
| 1639288756 | James Louis Hilaire | Podiatrist | 7962 Oaklandon Rd, Indianapolis, IN 46236-7506 | 2006-08-30 |
| 1801827381 | Baker Foot Solutions Corp | Podiatrist | 6021 W 71st St, Suite A, Indianapolis, IN 46278-1705 | 2006-07-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46268 |
Please comment or provide details below to improve the information on STEPHEN M OFFUTT.
| 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.