MIDWEST FOOT & ANKLE LLC (NPI# 1285968867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285968867 |
| Entity Type | Organization |
| Organization Name | MIDWEST FOOT & ANKLE LLC |
| Practice Address |
8240 Naab Rd Suite 360 Indianapolis IN 46260-1987 |
| Mailing Address |
3850 Shore Dr Suite 301 Indianapolis IN 46254-4693 |
| Practice Telephone | 3172973338 |
| Practice Fax Number | 3172979997 |
| Mailing Telephone | 3172973338 |
| Mailing Fax Number | 3172979997 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | DR. KIRK S HOLSTON (OWNER) |
| Authorized Official Telephone | 3172973338 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 070000768A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | AETNA | 0005497063 | 01 |
| IN | 200527610B | 05 | |
| IN | 200527610A | 05 | |
| IN | ANTHEM BCBS | 000000364508 | 01 |
| Street Address |
8240 NAAB RD SUITE 360 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552057 | Timothy Allen Glass | Surgery | 8240 Naab Rd, Suite 100, Indianapolis, IN 46260 | 2005-07-18 |
| 1952768004 | Ashlee Giesler | Nurse Practitioner | 8240 Naab Rd, Suite 200, Indianapolis, IN 46260-5927 | 2016-01-20 |
| 1275681009 | Melinda J. Hight | Physician Assistant | 8240 Naab Rd, Suite 200, Indianapolis, IN 46260-5927 | 2007-01-08 |
| 1780763581 | Andrea Aristizabal | Internal Medicine | 8240 Naab Rd, Indianapolis, IN 46260-5927 | 2006-11-03 |
| 1548340177 | Urology of Indiana, L.L.C. | Durable Medical Equipment & Medical Supplies | 8240 Naab Rd, Suite # 200, Indianapolis, IN 46260-1986 | 2006-10-17 |
| 1932289568 | Urology of Indiana, L.L.C. | Durable Medical Equipment & Medical Supplies | 8240 Naab Rd, Suite 200, Indianapolis, IN 46260-5927 | 2006-10-17 |
| 1346336658 | Raymond A Baumgartner | Podiatrist | 8240 Naab Rd, Suite 360, Indianapolis, IN 46260 | 2006-10-05 |
| 1356355093 | William L Shirrell | Urology | 8240 Naab Rd, Suite #200, Indianapolis, IN 46260-1986 | 2006-07-28 |
| 1659385375 | John K Schlueter | Urology | 8240 Naab Rd, Suite #200, Indianapolis, IN 46260-5927 | 2006-07-28 |
| 1558397844 | Ashley M Quade | Physician Assistant | 8240 Naab Rd, Suite 200, Indianapolis, IN 46260-5927 | 2006-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 | 46260 |
Please comment or provide details below to improve the information on MIDWEST FOOT & ANKLE 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.