MICAH SPENCER (NPI# 1558850164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558850164 |
| Entity Type | Individual |
| Full Name | MICAH SPENCER |
| Practice Address |
611 E Douglas Rd Ste 407 Mishawaka IN 46545 |
| Mailing Address |
707 Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5743356500 |
| Mailing Telephone | 5743358700 |
| Mailing Fax Number | 5743350760 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 99086926A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300014870 | 05 |
| Street Address |
611 E DOUGLAS RD STE 407 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710325386 | Brigitte R Selio | Family Medicine | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2013-06-05 |
| 1790312890 | Akanksha Ashwini | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-26 |
| 1225665565 | Christina Pedro | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-26 |
| 1568099042 | Nicholas Joseph Walter | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-25 |
| 1447887187 | Andrew Hyrcza | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1669009379 | Aditya Voruganti | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1467089185 | Jeremy Carter | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1437786233 | Timothy Aaron Lehman | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1356978233 | Sheena Paresh Shah | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-23 |
| 1992332712 | Jessica Ann Williams | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| 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 |
|---|---|---|---|---|
| 1508811308 | N W Worden | Podiatrist | 2206 Lincoln Way E, Mishawaka, IN 46544-3301 | 2006-05-23 |
| 1396031837 | Cassandra Papak | Podiatrist | 611 E Douglas Rd, Ste 406, Mishawaka, IN 46545-1464 | 2011-06-23 |
| 1609040088 | Jason R Grove | Podiatrist | 611 E Douglas Rd Ste 406, Mishawaka, IN 46545-1468 | 2008-04-17 |
| 1295753267 | Michael Salcedo Dpm | Podiatrist | 3665 Park Pl W, Suite 200, Mishawaka, IN 46545-3566 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1770040081 | Apex Podiatry, Inc. | Podiatrist | 1720 Lafayette Rd Ste 3, Crawfordsville, IN 47933-4604 | 2019-02-22 |
| 1982176913 | A-warnock LLC | Podiatrist | 1103 Central Park Blvd N, Greenwood, IN 46143-7312 | 2019-01-02 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1629592191 | Christie Foot & Ankle, LLC | Podiatrist | 3031 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2017-07-27 |
| 1154842896 | Major Multispecialty Associates | Podiatrist | 30 W Rampart St Ste 180, Shelbyville, IN 46176-8845 | 2017-07-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1538693536 | Nicholas Nicholas Lalios | Podiatrist | 7800 Madison St, Merrillville, IN 46410-4615 | 2017-04-17 |
| 1558713354 | Allegiant Podiatry, Inc. | Podiatrist | 515 Silhavy Rd, Apt # 2, Valparaiso, IN 46383-4452 | 2016-07-06 |
| 1275984643 | Jordan Gardner | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2016-06-28 |
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| 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.