PODIATRIC MEDICAL ASSOCIATES PC (NPI# 1134237639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134237639 |
| Entity Type | Organization |
| Organization Name | PODIATRIC MEDICAL ASSOCIATES PC |
| Practice Address |
303 W 89th Ave Suite E-1 Merrillville IN 46410 |
| Practice Telephone | 2197368915 |
| Practice Fax Number | 2197368928 |
| Mailing Telephone | 2197368915 |
| Mailing Fax Number | 2197368928 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2013-12-05 |
| Authorized Official Name | DR. STEPHEN K GRANDFIELD (PRESIDENT) |
| Authorized Official Telephone | 2197368915 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 07000353A | IN | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 07000785A | IN | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 07000922A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100207960 | 05 | |
| MEDICARE DMERC | 1089370001 | 01 | |
| IN | 100148090 | 05 | |
| RR MEDICARE | 480016271 | 01 | |
| IN | ANTHEM | 000000084756 | 01 |
| IN | ANTHEM | 000000084758 | 01 |
| IN | 200326020 | 05 | |
| RR MEDICARE | 480032400 | 01 | |
| IN | ANTHEM | 00000209276 | 01 |
| RR MEDICARE | 480020342 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982728200 | Podiatric Medical Associates PC | Podiatrist | 6289 Central Ave, Portage, IN 46368-3725 | 2007-03-19 |
| 1275926347 | Podiatric Medical Associates PC | Podiatrist | 1501 State Street, La Porte, IN 46350-3115 | 2015-03-12 |
| 1427172014 | Podiatric Medical Associates PC | Podiatrist | 6916 W Johnson Rd, La Porte, IN 46350-8247 | 2007-03-19 |
| Street Address |
303 W 89TH AVE SUITE E-1 |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560058 | Louis Robert Sertich | Dentist | 303 W 89th Ave, E-2, Merrillville, IN 46410-6294 | 2005-06-30 |
| 1215223235 | Jesse Murphy | Podiatrist | 303 W 89th Ave, Suite E-1, Merrillville, IN 46410-6294 | 2011-06-28 |
| 1235459132 | Jeffrey Lynn Nelson | Ophthalmology | 303 W 89th Ave, Suite E-4, Merrillville, IN 46410-6294 | 2010-06-03 |
| 1528268364 | Varun Malhotra | Ophthalmology | 303 W 89th Ave, Suite E4, Merrillville, IN 46410-6294 | 2007-07-19 |
| 1275650608 | Alison Jean Byrne | Optometrist | 303 W 89th Ave, Suite E4, Merrillville, IN 46410-6294 | 2007-03-22 |
| 1346373313 | David G. Gross | Ophthalmology | 303 W 89th Ave, Suite E4, Merrillville, IN 46410-6294 | 2007-03-13 |
| 1073646089 | David G Gross Do, PC | Optometrist | 303 W 89th Ave, Suite E4, Merrillville, IN 46410-6294 | 2007-03-13 |
| 1295868016 | David G. Gross, Do, PC | Eyewear Supplier (Equipment, not the service) | 303 W 89th Ave, Suite E4, Merrillville, IN 46410-6294 | 2007-03-13 |
| 1376602482 | Jonathan James Truchan | Podiatrist | 303 W 89th Ave, Ste E1, Merrillville, IN 46410-6295 | 2006-12-06 |
| 1538255740 | Emad G Eshak | Physical Therapist | 303 W 89th Ave, Suite E3, Merrillville, IN 46410 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1538693536 | Nicholas Nicholas Lalios | Podiatrist | 7800 Madison St, Merrillville, IN 46410-4615 | 2017-04-17 |
| 1730569898 | Podiatry Plus LLC | Podiatrist | 8407 Virginia St, Merrillville, IN 46410-6232 | 2015-06-04 |
| 1174559876 | Ahmad Kassem El-samad | Podiatrist | 9239 Broadway, Merrillville, IN 46410-7046 | 2006-06-24 |
| 1689617508 | Bruce Edward Williams | Podiatrist | 8120 Georgia St, Suite B, Merrillville, IN 46410-6390 | 2006-06-14 |
| 1598730020 | Sherese R Dillon | Podiatrist | 1237 W 82nd Lane, Merrillville, IN 46410 | 2006-02-19 |
| 1568849842 | Lakeshore Bone & Joint Institute | Podiatrist | 251 W 84th Dr, Merrillville, IN 46410-6243 | 2015-05-06 |
| 1922204106 | Northwest Indiana Podiatry Clinic, LLC | Podiatrist | 7250 Arthur Blvd, Merrillville, IN 46410-3766 | 2007-06-25 |
| 1376602482 | Jonathan James Truchan | Podiatrist | 303 W 89th Ave, Ste E1, Merrillville, IN 46410-6295 | 2006-12-06 |
| 1649344979 | Antony Edukutharayil | Podiatrist | 8300 Broadway, Suite D1, Merrillville, IN 46410-8602 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1770040081 | Apex Podiatry, Inc. | Podiatrist | 1720 Lafayette Rd Ste 3, Crawfordsville, IN 47933-4604 | 2019-02-22 |
| 1982176913 | A-warnock LLC | Podiatrist | 1103 Central Park Blvd N, Greenwood, IN 46143-7312 | 2019-01-02 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1629592191 | Christie Foot & Ankle, LLC | Podiatrist | 3031 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2017-07-27 |
| 1154842896 | Major Multispecialty Associates | Podiatrist | 30 W Rampart St Ste 180, Shelbyville, IN 46176-8845 | 2017-07-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1558713354 | Allegiant Podiatry, Inc. | Podiatrist | 515 Silhavy Rd, Apt # 2, Valparaiso, IN 46383-4452 | 2016-07-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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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.