WALTER HANCOCK DPM PC (NPI# 1093869612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093869612 |
Entity Type | Organization |
Organization Name | WALTER HANCOCK DPM PC |
Practice Address |
2042 Lincoln Ave Evansville IN 47714-1561 |
Practice Telephone | 8124771821 |
Practice Fax Number | 8124750327 |
Mailing Telephone | 8124771821 |
Mailing Fax Number | 8124750327 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2011-06-17 |
Authorized Official Name | MR. WALTER HANCOCK (DPM) |
Authorized Official Telephone | 8124771821 |
Authorized Official Credential | DPM |
Is Organization Subpart | Y |
Parent Organization Name | WALTER HANCOCK DPM PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 07000330 | IN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | PALMETTO MEDICARE | 480068075 A | 01 |
IN | 100110420 A & B | 05 | |
IN | ANTHEM BLUE SHEILD | 000000042449 | 01 |
IN | ANTHEM BLUE SHEILD | 000000108408 | 01 |
IN | MEDICARE DME | 0243760002 | 01 |
Street Address |
2042 LINCOLN AVE |
City | EVANSVILLE |
State | IN |
Zip Code | 47714-1561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649383852 | Walter Hancock | Podiatrist | 2042 Lincoln Ave, Evansville, IN 47714-1561 | 2006-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
Find all providers in zip 47714 |
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 | 47714 |
Please comment or provide details below to improve the information on WALTER HANCOCK DPM 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.