SRD PODIATRY P.C. (NPI# 1376749168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376749168 |
| Entity Type | Organization |
| Organization Name | SRD PODIATRY P.C. |
| Practice Address |
1237 W. 82nd Lane Merrillville IN 46410 |
| Mailing Address |
1237 W. 82nd Pl Merrillville IN 46410 |
| Practice Telephone | 2197910667 |
| Practice Fax Number | 2197910657 |
| Mailing Telephone | 2197910667 |
| Mailing Fax Number | 2197910657 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHERESE R DILLON (CEO) |
| Authorized Official Telephone | 2197910667 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
07000980A | IN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1237 W. 82ND LANE |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| 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 | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784012 | Mohammed Ahmeduddin, LLC | Podiatrist | 11661 Archer Ln, Fishers, IN 46037-3201 | 2017-04-20 |
| 1306295084 | Melanie S. Kocevar | Podiatrist | 2003 Stults Rd Ste 200, Huntington, IN 46750-1291 | 2016-06-03 |
| 1457732133 | Angelic Footcare | Podiatrist | 8785 Keystone Xing, 1268, Indianapolis, IN 46240-2337 | 2015-06-17 |
| 1528317518 | Jerwana Laster | Podiatrist | 10935 Beechwood Dr E, Indianapolis, IN 46280-1222 | 2012-09-05 |
| 1881955664 | Manjit Kaur | Podiatrist | 301 Satori Pkwy Ste 150, Avon, IN 46123-6408 | 2012-06-07 |
| 1922240019 | Robert E. Wyatt | Podiatrist | 9134 Bradenton Rd, Fort Wayne, IN 46835-8892 | 2009-04-03 |
| 1801066691 | Dr. Thomas V. Tsoutsouris | Podiatrist | 1403 Franklin St, Michigan City, IN 46360-3707 | 2008-03-07 |
| 1285804070 | Dr. Thomas V. Tsoutsouris | Podiatrist | 7330 Indianapolis Blvd Ste 3, Hammond, IN 46324-2945 | 2008-03-07 |
| 1003099441 | Lafayette Foot and Ankle Clinic | Podiatrist | 2700 Lafayette St Ste 230, Fort Wayne, IN 46806-1100 | 2007-12-07 |
| 1003031204 | Dr N W Worden PC | Podiatrist | 2206 Lincolnway E, Mishawaka, IN 46544-3301 | 2007-04-15 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on SRD PODIATRY P.C..
| 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.