BLOOMINGTON PODIATRY CENTRE LLC (NPI# 1003048372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003048372 |
| Entity Type | Organization |
| Organization Name | BLOOMINGTON PODIATRY CENTRE LLC |
| Practice Address |
203 W 1st St Bloomington IN 47403-2504 |
| Practice Telephone | 8123391675 |
| Practice Fax Number | 8123395271 |
| Mailing Telephone | 8123391675 |
| Mailing Fax Number | 8123395271 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | DR. MICHAEL S HOFFMAN (PODIATRIST) |
| Authorized Official Telephone | 8123391675 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
203 W 1ST ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083635866 | Michael S Hoffman | Podiatrist | 203 W 1st St, Bloomington, IN 47403-2504 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457650467 | Premier Healthcare, LLC | Podiatrist | 490 S Landmark Ave, Bloomington, IN 47403-5000 | 2011-03-17 |
| 1497957161 | Family Foot and Ankle Center Inc | Podiatrist | 417 S. Landmark Avenue, Bloomington, IN 47403-5003 | 2007-06-04 |
| 1083635866 | Michael S Hoffman | Podiatrist | 203 W 1st St, Bloomington, IN 47403-2504 | 2006-07-21 |
| 1700273190 | Mclean County Foot & Ankle, Ltd. | Podiatrist | 3801 Ge Rd Ste 4, Bloomington, IL 61704 | 2015-04-23 |
| 1467847475 | Tracy Lee | Podiatrist | 1791 W 3rd St, Bloomington, IN 47404-5029 | 2015-04-06 |
| 1518198639 | Gene Devane | Podiatrist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2009-08-06 |
| 1659529311 | Heartland Foot and Ankle Associates, P.C. | Podiatrist | 10 Heartland Dr, Suite B, Bloomington, IL 61704-7775 | 2008-09-05 |
| 1669664595 | Melissa Jomarie Lockwood | Podiatrist | 10 Heartland Dr, Suite B, Bloomington, IL 61704-7741 | 2007-08-14 |
| 1053393355 | Gerry L Hash | Podiatrist | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2005-11-14 |
| 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 | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.