LAFAYETTE FOOT AND ANKLE CLINIC


Address: 2700 Lafayette St Ste 230, Fort Wayne, IN 46806-1100
Phone: 2604589953

LAFAYETTE FOOT AND ANKLE CLINIC (NPI# 1003099441) 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) 1003099441
Entity Type Organization
Organization Name LAFAYETTE FOOT AND ANKLE CLINIC
Practice Address 2700 Lafayette St Ste 230
Fort Wayne
IN 46806-1100
Practice Telephone 2604589953
Practice Fax Number 2604589238
Mailing Telephone 2604589953
Mailing Fax Number 2604589238
Enumeration Date 2007-12-07
Last Update Date 2007-12-07
Authorized Official Name DR. BENNY FAIR JR. (OWNER)
Authorized Official Telephone 2604589953
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
07000728 IN Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
RR MCR P00128864 01

Office Location

Street Address 2700 LAFAYETTE ST STE 230
City FORT WAYNE
State IN
Zip Code 46806-1100

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841574829 Daniel E Purvis Jr. Pharmacist 222 E Pettit Avenue, Fort Wayne, IN 46806 2011-10-07
1558645754 Logan M Franke Pharmacist 222 E Pettit Ave, Fort Wayne, IN 46806 2011-10-06
1356513725 Seazoned Med Transportation Service Non-emergency Medical Transport (VAN) 2809 Smith Street, Fort Wayne, IN 46806 2008-03-26
1376711267 Hector F Perez Md PC Family Medicine 5717 So Anthony, Ste 500, Fort Wayne, IN 46806 2008-02-14
1326249376 Purdue University Dentist 2700 South Lafayette Street, Fort Wayne, IN 46806 2007-05-29
1174657480 Robert Anthony Ford Case Manager/Care Coordinator 525 Oxford St., Fort Wayne, IN 46806 2007-03-16
1508069972 Indiana University Clinic/Center 2700 South Lafayette Street, Fort Wayne, IN 46806 2007-06-06
1669622403 Sally J Hartman Nurse Practitioner 2700 S Lafayette St, Suite 200, Fort Wayne, IN 46806-1100 2008-09-30
1033259197 V E Butler and Associates PC Pharmacist 2700 S. Lafayette St, Communitycare Pharmacy, Fort Wayne, IN 46806-1100 2007-02-07
1053376186 Rebecca Konkin Nurse Practitioner 2700 Lafayette St, Ste B-10, Fort Wayne, IN 46806-1100 2006-04-20
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922240019 Robert E. Wyatt Podiatrist 9134 Bradenton Rd, Fort Wayne, IN 46835-8892 2009-04-03

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1306295084 Melanie S. Kocevar Podiatrist 2003 Stults Rd Ste 200, Huntington, IN 46750-1291 2016-06-03
1457732133 Angelic Footcare Podiatrist 8785 Keystone Xing, 1268, Indianapolis, IN 46240-2337 2015-06-17
1528317518 Jerwana Laster Podiatrist 10935 Beechwood Dr E, Indianapolis, IN 46280-1222 2012-09-05
1881955664 Manjit Kaur Podiatrist 301 Satori Pkwy Ste 150, Avon, IN 46123-6408 2012-06-07
1801066691 Dr. Thomas V. Tsoutsouris Podiatrist 1403 Franklin St, Michigan City, IN 46360-3707 2008-03-07
1285804070 Dr. Thomas V. Tsoutsouris Podiatrist 7330 Indianapolis Blvd Ste 3, Hammond, IN 46324-2945 2008-03-07
1376749168 Srd Podiatry P.C. Podiatrist 1237 W. 82nd Lane, Merrillville, IN 46410 2007-06-27
1003031204 Dr N W Worden PC Podiatrist 2206 Lincolnway E, Mishawaka, IN 46544-3301 2007-04-15
1487704680 Mann Spitler IIi Podiatrist 3104 Churchview Dr, Valparaiso, IN 46383-2433 2007-01-11
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Competitor

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City FORT WAYNE
Zip Code 46806

Improve Information

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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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