NORTHWEST INDIANA PODIATRY CLINIC, LLC (NPI# 1932305117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932305117 |
| Entity Type | Organization |
| Organization Name | NORTHWEST INDIANA PODIATRY CLINIC, LLC |
| Practice Address |
9134 Columbia Ave Suite B Munster IN 46321-2907 |
| Mailing Address |
9933 S Western Ave Suite 102 Chicago IL 60643-1810 |
| Practice Telephone | 2198363112 |
| Practice Fax Number | 2198363109 |
| Mailing Telephone | 7732333800 |
| Mailing Fax Number | 7732332513 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2009-11-12 |
| Authorized Official Name | DR. FORTUNEE MASSUDA (MEDICAL DIRECTOR & CEO) |
| Authorized Official Telephone | 7732333800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 211D00000X | Assistant, Podiatric | Podiatric Medicine & Surgery Service Providers | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213EP0504X |
Podiatrist Specialization: Public Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 90001145 | 01 |
| IN | 200124730E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609072677 | Northwest Indiana Podiatry Clinic, LLC | Assistant, Podiatric | 3100 45th Ave, Highland, IN 46322 | 2007-06-26 |
| 1801888359 | Northwest Indiana Podiatry Clinic, LLC | Podiatrist | 4320 Fir St, East Chicago, IN 46312-3052 | 2005-08-19 |
| 1922204106 | Northwest Indiana Podiatry Clinic, LLC | Podiatrist | 7250 Arthur Blvd, Merrillville, IN 46410-3766 | 2007-06-25 |
| 1639375058 | Northwest Indiana Podiatry Clinic, LLC | Podiatrist | 1534 119th St, Whiting, IN 46394-1733 | 2007-06-22 |
| Street Address |
9134 COLUMBIA AVE SUITE B |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962419846 | Won S Loh | Internal Medicine | 9134 Columbia Ave, Ste A, Munster, IN 46321 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457420424 | Gary John Thomas | Podiatrist | 1650 45th St Ste F, Munster, IN 46321-3960 | 2006-11-06 |
| 1811180326 | Dynamic Foot &ankle Surgeons,p C | Podiatrist | 8840 Calumet Ave, Suite 101, Munster, IN 46321-2545 | 2007-08-20 |
| 1487681235 | Jason K Rosenblum | Podiatrist | 7905 Calumet Ave, Franciscan Hammond Clinic LLC, Munster, IN 46321-2549 | 2006-06-27 |
| 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 |
| 1952846776 | Veronica Alexis Kacmar-fedorchak | Podiatrist | 3215 Willowcreek Rd, Portage, IN 46368-5013 | 2017-01-03 |
| 1629529029 | Associated Surgeons and Physicians, LLC | Podiatrist | 7920 W. Jefferson Blvd., Ste. 230, Fort Wayne, IN 46804-4166 | 2016-10-20 |
| 1902359714 | Aamir Mahmood | Podiatrist | 10176 W 400 N Ste D, Michigan City, IN 46360-9009 | 2016-07-28 |
| 1437508116 | Brian K. Penrose | Podiatrist | 611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 | 2016-06-03 |
| 1558756023 | Sarah Standish | Podiatrist | 1001 Hadley Rd Ste 105, Mooresville, IN 46158-1884 | 2015-04-01 |
| 1467872796 | William Joseph Edward Adams | Podiatrist | 1 Memorial Sq Ste 2100, Greenfield, IN 46140-1380 | 2014-04-25 |
| 1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
| 1245679802 | Ansgar Steven Olsen | Podiatrist | 360 Plaza Dr Ste B, Columbus, IN 47201-2960 | 2013-06-17 |
| Find all providers with the same taxonomy | ||||
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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.