PRESTIGE FOOT & ANKLE, PC (NPI# 1235477233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235477233 |
| Entity Type | Organization |
| Organization Name | PRESTIGE FOOT & ANKLE, PC |
| Other Organization Name | PRESTIGE PODIATRY |
| Practice Address |
5128 E Stop 11 Rd Suite 40 Indianapolis IN 46237-6338 |
| Mailing Address |
6299 Guion Rd Ste C Indianapolis IN 46268-2530 |
| Practice Telephone | 3178810070 |
| Practice Fax Number | 3178850856 |
| Mailing Telephone | 3179310664 |
| Mailing Fax Number | 8885107211 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | BARBARA HUNTSMAN (CREDENTIAL SPECIALIST) |
| Authorized Official Telephone | 3179310664 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESTIGE FOOT & ANKLE, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
07000947A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PALMETTO GBA | DP9942 | 01 |
| Other Name | Type Code |
|---|---|
| Prestige Podiatry | Doing Business As Name - Organization |
| Street Address |
5128 E STOP 11 RD SUITE 40 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-6338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063604833 | Rhonda J Paris | Nurse Practitioner | 5128 E Stop 11 Rd, Suite 34, Indianapolis, IN 46237-6337 | 2007-08-15 |
| 1154519320 | Andrew Dick Md PC | Specialist | 5128 E Stop 11 Rd, 34, Indianapolis, IN 46237-6337 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853873 | Hoosier Foot & Ankle LLC | Podiatrist | 7412 Rockville Rd Ste A, Indianapolis, IN 46214-3098 | 2017-10-25 |
| 1952830499 | Britney Ann Wenig | Podiatrist | 10122 E 10th St Ste 250, Indianapolis, IN 46229-2663 | 2017-06-08 |
| 1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
| 1831436575 | Central Indiana Podiatry, PC | Podiatrist | 7098 N Shadeland Ave, Indianapolis, IN 46220-4273 | 2013-01-15 |
| 1952657157 | Alona Foot and Ankle, P.C. | Podiatrist | 3026 Tinkersfield Ln, Indianapolis, IN 46214-1601 | 2012-07-25 |
| 1740547769 | Mieasha Hicks Barksdale | Podiatrist | 1801 Senate Blvd Ste 610, Indianapolis, IN 46202 | 2012-04-15 |
| 1992986582 | Bradford Samuel Legge | Podiatrist | 5471 Georgetown Rd Ste C, Indianapolis, IN 46254-5794 | 2007-11-25 |
| 1568518314 | Irwin B. Malament Dpm A Professional Corporation | Podiatrist | 3410 N High School Rd Ste C, Indianapolis, IN 46224-1100 | 2007-01-26 |
| 1639288756 | James Louis Hilaire | Podiatrist | 7962 Oaklandon Rd, Indianapolis, IN 46236-7506 | 2006-08-30 |
| 1801827381 | Baker Foot Solutions Corp | Podiatrist | 6021 W 71st St, Suite A, Indianapolis, IN 46278-1705 | 2006-07-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on PRESTIGE FOOT & ANKLE, 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.