ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC (NPI# 1255547550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255547550 |
Entity Type | Organization |
Organization Name | ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC |
Other Organization Name | ACE POADIATRY |
Practice Address |
6296 Rucker Rd Indianapolis IN 46220-4852 |
Mailing Address |
Po Box 147 Carmel IN 46082-0147 |
Practice Telephone | 3178419930 |
Practice Fax Number | 3178158505 |
Mailing Telephone | 3178419930 |
Mailing Fax Number | 3178158505 |
Enumeration Date | 2007-05-15 |
Last Update Date | 2010-07-29 |
Authorized Official Name | DR. THOMAS WAYNE ZUNICA (OWNER) |
Authorized Official Telephone | 3178419930 |
Authorized Official Credential | D.P.M |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 07000610A | IN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200350690 | 05 |
Other Name | Type Code |
---|---|
ACE Poadiatry | Doing Business As Name - Organization |
Street Address |
6296 RUCKER RD |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46220-4852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316053770 | Michael Gaylor Kelley | Dentist | 6296 Rucker Rd, Ste A, Indianapolis, IN 46220-4852 | 2006-08-21 |
1760802037 | Suga Neuropsychological Services, LLC | Clinic/Center | 6296 Rucker Rd, Indianapolis, IN 46220-4888 | 2014-04-24 |
1063663201 | Amy Swier-vosnos | Clinical Neuropsychologist | 6296 Rucker Rd, Suite A, Indianapolis, IN 46220-4888 | 2008-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
Find all providers in zip 46220 |
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 | 46220 |
Please comment or provide details below to improve the information on ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC.
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.