FIRST PODIATRY, PC (NPI# 1093732844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093732844 |
Entity Type | Organization |
Organization Name | FIRST PODIATRY, PC |
Practice Address |
4640 W Lloyd Expy Evansville IN 47712-6517 |
Mailing Address |
Po Box 3276 Evansville IN 47731-3276 |
Practice Telephone | 8124911426 |
Practice Fax Number | 8124926426 |
Mailing Telephone | 8124730181 |
Mailing Fax Number | 8124735822 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-11-05 |
Authorized Official Name | JANE KOCH (OWNER) |
Authorized Official Telephone | 8124911426 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | RAILROAD MEDICARE | CD9657 | 01 |
IN | ANTHEM | 000000056189 | 01 |
Street Address |
4640 W LLOYD EXPY |
City | EVANSVILLE |
State | IN |
Zip Code | 47712-6517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144223041 | Jane Koch | Podiatrist | 4640 W Lloyd Expy, Evansville, IN 47712-6517 | 2005-05-24 |
1902124209 | David Roy Reynolds | Podiatrist | 4640 W Lloyd Expy, Evansville, IN 47712-6517 | 2010-05-11 |
1346243078 | David W Powell | Podiatrist | 4640 W Lloyd Expy, Evansville, IN 47712-6517 | 2005-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
1609363852 | Megan Ann Armstrong | Nurse Practitioner | 100 S Rosenberger Ave Ste B400, Evansville, IN 47712 | 2018-04-13 |
1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
1255755807 | Laura Walker | Social Worker | 2700 W. Indiana St, Evansville, IN 47712 | 2014-02-18 |
1437486594 | Kristin Jane Behme | Physical Therapist | 1501-1701 Mcdowell Rd, Evansville, IN 47712 | 2009-11-11 |
1528223054 | Anil Kumar Reddy Manda | Dentist | 5020 West Lloyd Expwy, Ste 200, Evansville, IN 47712 | 2008-07-24 |
1720285778 | Abby Dawn Clinard | Physical Therapy Assistant | Westpark Rehabilitation Center, 25 S Boehne Camp Road, Evansville, IN 47712 | 2007-07-02 |
1487855920 | Melissa A Singer | Nurse Practitioner | 1520 Weston Rd., Evansville, IN 47712 | 2007-05-31 |
1144312133 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712 | 2006-09-28 |
1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
Find all providers in zip 47712 |
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 |
---|---|---|---|---|
1275984643 | Jordan Gardner | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2016-06-28 |
1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
1649383852 | Walter Hancock | Podiatrist | 2042 Lincoln Ave, Evansville, IN 47714-1561 | 2006-08-15 |
1063446813 | Lori Lynne Hupfer | Podiatrist | 2809 Lincoln Ave, Evansville Foot and Ankle Center Ste 130, Evansville, IN 47714 | 2006-07-10 |
1861474058 | Kent Reynolds Burress | Podiatrist | 1819 Washington Ave, Evansville, IN 47714 | 2005-11-15 |
1144223041 | Jane Koch | Podiatrist | 4640 W Lloyd Expy, Evansville, IN 47712-6517 | 2005-05-24 |
1154933703 | St Mary's Medical Group, LLC | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2020-08-17 |
1679198436 | Joseph H Wilson | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2020-06-08 |
1902124209 | David Roy Reynolds | Podiatrist | 4640 W Lloyd Expy, Evansville, IN 47712-6517 | 2010-05-11 |
1730375882 | Jason R Denton | Podiatrist | 421 Chestnut St, Evansville, IN 47713-1227 | 2007-09-22 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47712 |
Please comment or provide details below to improve the information on FIRST PODIATRY, PC.
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.