CENTER GROVE FOOT & ANKLE CARE, P.C. (NPI# 1073793816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073793816 |
| Entity Type | Organization |
| Organization Name | CENTER GROVE FOOT & ANKLE CARE, P.C. |
| Practice Address |
1250 E County Line Rd Ste 6 Indianapolis IN 46227-0989 |
| Practice Telephone | 3178592905 |
| Mailing Telephone | 3178592905 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | DR. MARK H. RUNKLE (PRESIDENT) |
| Authorized Official Telephone | 3178592905 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
07000797 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200035220 | 05 | |
| IN | RAILROAD MEDICARE | 480033210 | 01 |
| Street Address |
1250 E COUNTY LINE RD STE 6 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-0989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003880972 | Donald H Lauer | Family Medicine | 1250 E County Line Rd, Suite 9, Indianapolis, IN 46227-0989 | 2006-02-15 |
| 1023240025 | Pathways Tohealing, LLC | Community/Behavioral Health | 1250 E County Line Rd, Suite 3b, Indianapolis, IN 46227-1004 | 2009-08-10 |
| 1750534780 | Dorice Neir | Counselor | 1250 E County Line Rd, Suite 4c, Indianapolis, IN 46227-1004 | 2008-11-04 |
| 1275701633 | White River Development Group, Inc. | Nurse Practitioner | 1250 E County Line Rd, Suite 2, Indianapolis, IN 46227-1004 | 2008-02-19 |
| 1679770705 | Ali M Dohan Md Inc | Internal Medicine | 1250 E County Line Rd, Suite 8, Indianapolis, IN 46227-0989 | 2007-07-02 |
| 1255478491 | Indiana Vision Improvement Center | Optometrist | 1250 E County Line Rd, Suite4, Indianapolis, IN 46227-1004 | 2007-01-30 |
| 1972683514 | Mary W Vanhoy | Optometrist | 1250 E County Line Rd, Suite $, Indianapolis, IN 46227-1004 | 2006-10-17 |
| 1245310853 | Heather Michelle Adams | Optometrist | 1250 E County Line Rd, Suite 4, Indianapolis, IN 46227-1004 | 2006-10-17 |
| 1144246687 | Mark H Runkle | Podiatrist | 1250 E County Line Rd, Ste 6, Indianapolis, IN 46227-0989 | 2006-07-15 |
| 1497785802 | Peggy Glaubke Daly | Nurse Practitioner | 1250 E County Line Rd, Ste 2, Indianapolis, IN 46227-1004 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366995029 | Baker Foot Solutions Corp | Clinic/Center | 7330 E 82nd St, Suite A, Indianapolis, IN 46256-1465 | 2016-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184184186 | Foot & Ankle Health Care Center Ltd | Clinic/Center | 5950 Hohman Ave, Hammond, IN 46320-2424 | 2019-03-25 |
| 1255725404 | Northwest Surgical Center, Inc. | Clinic/Center | 201 E 5th Ave Ste A, Gary, IN 46402-1300 | 2015-03-26 |
| 1659366029 | Northern Indiana Foot & Ankle Assoc Inc | Clinic/Center | 504 Colonial Court, Plymouth, IN 46563-1860 | 2005-09-13 |
| 1053316802 | Oakview Surgical Center, Inc. | Clinic/Center | 120 E 18th St, Rochester, IN 46975-2632 | 2005-06-17 |
| 1386276947 | Hendricks County Hospital | Clinic/Center | 301 Satori Pkwy Ste 150, Avon, IN 46123-6408 | 2020-02-11 |
| 1013557743 | Doctor Footfixer, PC | Clinic/Center | 400 Union St, Lagrange, IN 46761-2286 | 2020-01-10 |
| 1821400326 | Elek LLC | Clinic/Center | 3015 Mishawaka Ave, South Bend, IN 46615-2347 | 2014-06-02 |
| 1750552022 | Michigan City Foot | Clinic/Center | 1403 Franklin St, Michigan City, IN 46360-3707 | 2008-03-14 |
| 1972621027 | Ambulatory Foot Care Inc | Clinic/Center | 8120 Georgia St, Suite B, Merrillville, IN 46410-6390 | 2007-03-27 |
| 1184770729 | Gohil Clinic Inc | Clinic/Center | 209 Corwin Ln, Kokomo, IN 46902-6612 | 2007-01-26 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on CENTER GROVE FOOT & ANKLE CARE, P.C..
| 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.