RIVERSIDE PODIATRY CLINIC, INC. (NPI# 1780605055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780605055 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PODIATRY CLINIC, INC. |
| Practice Address |
1900 W Kem Rd Marion IN 46952-1548 |
| Practice Telephone | 7656640107 |
| Practice Fax Number | 7656646541 |
| Mailing Telephone | 7656640107 |
| Mailing Fax Number | 7656646541 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | DR. GARY LYNN ADSIT (OWNER) |
| Authorized Official Telephone | 7656640107 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 213E00000X | Podiatrist | 07000307 | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | DR6511 | 01 |
| IN | BLUE CROSS BLUE SHIELD | 000000083983 | 01 |
| Street Address |
1900 W KEM RD |
| City | MARION |
| State | IN |
| Zip Code | 46952-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888948 | Gary Lynn Adsit | Podiatrist | 1900 W Kem Rd, Marion, IN 46952-1548 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| 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 |
|---|---|---|---|---|
| 1104919075 | Jeffery S Deacon | Podiatrist | 3403 Professional Park Dr, Marion, IL 62959-6394 | 2006-10-02 |
| 1366543084 | Marion Diagnostic Center, LLC | Podiatrist | 3003 Civic Circle Blvd Suite 200, Marion, IL 62959-5259 | 2006-09-26 |
| 1669579462 | William P. Hess Sr. | Podiatrist | 1506 W Main St, Marion, IL 62959-1144 | 2006-09-20 |
| 1386641165 | Roy Lidtke | Podiatrist | 1215 Blairs Ferry Rd, Marion, IA 52302-3016 | 2005-07-07 |
| 1700888948 | Gary Lynn Adsit | Podiatrist | 1900 W Kem Rd, Marion, IN 46952-1548 | 2005-06-01 |
| 1912494600 | Apex Podiatry, Inc. | Podiatrist | 2020 S Western Ave, Marion, IN 46953 | 2018-04-18 |
| 1619388857 | Andrew J. Brown | Podiatrist | 1051 Harding Memorial Pkwy, Ste B, Marion, OH 43302-6347 | 2014-05-09 |
| 1245572890 | Matthew Jay Brown | Podiatrist | 1051 Harding Memorial Pkwy, Suite B, Marion, OH 43302-6347 | 2013-03-21 |
| 1285881128 | Ankle and Foot Specialists of Marion, Inc | Podiatrist | 1051 Harding Memorial Pkwy, Suite B, Marion, OH 43302-6347 | 2008-08-22 |
| 1801069588 | Crittenden County Hospital | Podiatrist | 520 West Gum St, Marion, KY 42064-0386 | 2008-04-02 |
| Find all providers in MARION | ||||
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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.