DR. JERWANA LASTER


Address: 10935 Beechwood Dr E, Indianapolis, IN 46280-1222
Phone: 3174411093

DR. JERWANA LASTER (NPI# 1528317518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528317518
Entity Type Individual
Full Name DR. JERWANA LASTER
Credential DPM
Practice Address 10935 Beechwood Dr E
Indianapolis
IN 46280-1222
Practice Telephone 3174411093
Practice Fax Number 3176692739
Mailing Telephone 3174411093
Mailing Fax Number 3176692739
Enumeration Date 2012-09-05
Last Update Date 2016-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
794 TN Podiatric Medicine & Surgery Service Providers
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
07001149A IN Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN TN LICENSE 794 01
IN IN LICENSE 07001149B 01

Office Location

Street Address 10935 BEECHWOOD DR E
City INDIANAPOLIS
State IN
Zip Code 46280-1222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457713406 We Heel The Sole Podiatry LLC Podiatrist 10935 Beechwood Dr E, Indianapolis, IN 46280-1222 2016-03-28

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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457732133 Angelic Footcare Podiatrist 8785 Keystone Xing, 1268, Indianapolis, IN 46240-2337 2015-06-17
1457713406 We Heel The Sole Podiatry LLC Podiatrist 10935 Beechwood Dr E, Indianapolis, IN 46280-1222 2016-03-28
1316264187 Tanisha Leanna Smith Podiatrist 5926 Crawfordsville Rd Unit B, Indianapolis, IN 46224-3722 2010-05-03

Providers in the same taxonomy and state

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
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
1376749168 Srd Podiatry P.C. Podiatrist 1237 W. 82nd Lane, Merrillville, IN 46410 2007-06-27
1003031204 Dr N W Worden PC Podiatrist 2206 Lincolnway E, Mishawaka, IN 46544-3301 2007-04-15
1487704680 Mann Spitler IIi Podiatrist 3104 Churchview Dr, Valparaiso, IN 46383-2433 2007-01-11
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Competitor

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City INDIANAPOLIS
Zip Code 46280

Improve Information

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Dataset Information

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.

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