GREGORY W BOAKE (NPI# 1235143512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235143512 |
| Entity Type | Individual |
| Full Name | GREGORY W BOAKE |
| Credential | D.P.M. |
| Practice Address |
6021 W 71st St Suite A Indianapolis IN 46278-1705 |
| Mailing Address |
Po Box 330 Fortville IN 46040-0330 |
| Practice Telephone | 3179203240 |
| Practice Fax Number | 3179203243 |
| Mailing Telephone | 3178632556 |
| Mailing Fax Number | 3172030420 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 070001028A | IN | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
070001028A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PODIATRIST LICENSE | 070001028A | 01 |
| DME ES | 5324290003 | 01 | |
| DME FC | 5324290008 | 01 | |
| IN | 20087023 | 05 | |
| DME AC | 5324290005 | 01 | |
| DME WV | 5324290007 | 01 | |
| DME BR | 5324290004 | 01 | |
| DME MC | 5324290006 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10122 E 10th St Ste 230, Indianapolis, IN 462292664 | 3173557356 | |
| 10122 E 10th St Ste 100, Indianapolis, IN 462292697 | 3173555717 |
| Street Address |
6021 W 71ST ST SUITE A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801827381 | Baker Foot Solutions Corp | Podiatrist | 6021 W 71st St, Suite A, Indianapolis, IN 46278-1705 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| 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 |
|---|---|---|---|---|
| 1194107607 | Mark Wavrunek | Podiatrist | 161 Washington Pointe Dr, Indianapolis, IN 46229-2693 | 2015-06-19 |
| 1639300486 | Paul M Kanter | Podiatrist | 348 Woodrow Ave, Indianapolis, IN 46241-0828 | 2009-07-28 |
| 1629208103 | Kenneth P Stumpf | Podiatrist | 6626 E 75th St, Ste 500, Indianapolis, IN 46250-2805 | 2009-07-20 |
| 1992960124 | Eugenia C Malenkos | Podiatrist | 1410 West 10th Street, Indianapolis, IN 46202-1616 | 2008-07-28 |
| 1740457555 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3388 Founders Rd, Suite C, Indianapolis, IN 46268-1443 | 2008-05-12 |
| 1093988263 | Jeremy Patrick Spaulding | Podiatrist | 8128 E Washington St, Indianapolis, IN 46219-6814 | 2008-04-09 |
| 1306018767 | Robert S. Mandresh Dpm PC Inc | Podiatrist | 8330 Naab Rd Ste 135, Indianapolis, IN 46260-1932 | 2008-03-26 |
| 1285837773 | Beech Grove Foot Care Inc | Podiatrist | 7855 S. Emerson Ave, Suite T, Indianapolis, IN 46237 | 2007-06-11 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1447329826 | Thomas Wayne Zunica | Podiatrist | 3901 Meadows Dr, Indianapolis, IN 46205-3113 | 2006-11-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
Please comment or provide details below to improve the information on GREGORY W BOAKE.
| 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.