NORTHSIDE FOOT CLINIC, INC. (NPI# 1700946811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700946811 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE FOOT CLINIC, INC. |
| Practice Address |
2000 E 116th St Suite 103 Carmel IN 46032-3508 |
| Practice Telephone | 3178445523 |
| Practice Fax Number | 3175870164 |
| Mailing Telephone | 3178445523 |
| Mailing Fax Number | 3175870164 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM FRANCIS KEYES (PRESIDENT) |
| Authorized Official Telephone | 3178445523 |
| 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 |
07000336B | IN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2000 E 116TH ST SUITE 103 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114022647 | Winslow Facial Plastic Surgery, LLC | Plastic Surgery | 2000 E 116th St, Ste 200, Carmel, IN 46032-3508 | 2006-09-13 |
| 1023383312 | Haymaijo, Inc. | Chiropractor | 2000 E 116th St, Suite B4, Carmel, IN 46032-3508 | 2012-03-20 |
| 1760516959 | John A. Hillier | Dentist | 2000 E 116th St, Suite 110, Carmel, IN 46032-3508 | 2007-03-16 |
| 1811080930 | Kathryn G. Stuart | Dentist | 2000 E 116th St, Suite 104, Carmel, IN 46032-3508 | 2006-10-02 |
| 1578655635 | Christine Bishop | Dentist | 2000 E 116th St, 102, Carmel, IN 46032-3508 | 2006-09-28 |
| 1376648808 | Catherine Winslow | Plastic Surgery | 2000 E 116th St, Ste 200, Carmel, IN 46032-3508 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| 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 |
| 1376749168 | Srd Podiatry P.C. | Podiatrist | 1237 W. 82nd Lane, Merrillville, IN 46410 | 2007-06-27 |
| Find all providers with the same taxonomy | ||||
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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.