MIEASHA HICKS BARKSDALE (NPI# 1740547769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740547769 |
Entity Type | Individual |
Full Name | MIEASHA HICKS BARKSDALE |
Other Name | MIEASHA LYNN HICKS |
Credential | D.P.M. |
Practice Address |
1801 Senate Blvd Ste 610 Indianapolis IN 46202 |
Mailing Address |
5471 Georgetown Rd Suite C Indianapolis IN 46254-5793 |
Practice Telephone | 3179244797 |
Practice Fax Number | 3179245169 |
Enumeration Date | 2012-04-15 |
Last Update Date | 2018-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
07001205A | IN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201299790 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5471 Georgetown Rd, Suite C, Indianapolis, IN 462545793 | 3172970661 | 3173286338 |
8615 Us 31 S Ste A, Indianapolis, IN 462270972 | 3178880650 | 3178880657 |
Street Address |
1801 SENATE BLVD STE 610 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
Find all providers in zip 46202 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356853873 | Hoosier Foot & Ankle LLC | Podiatrist | 7412 Rockville Rd Ste A, Indianapolis, IN 46214-3098 | 2017-10-25 |
1952830499 | Britney Ann Wenig | Podiatrist | 10122 E 10th St Ste 250, Indianapolis, IN 46229-2663 | 2017-06-08 |
1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
1831436575 | Central Indiana Podiatry, PC | Podiatrist | 7098 N Shadeland Ave, Indianapolis, IN 46220-4273 | 2013-01-15 |
1952657157 | Alona Foot and Ankle, P.C. | Podiatrist | 3026 Tinkersfield Ln, Indianapolis, IN 46214-1601 | 2012-07-25 |
1992986582 | Bradford Samuel Legge | Podiatrist | 5471 Georgetown Rd Ste C, Indianapolis, IN 46254-5794 | 2007-11-25 |
1568518314 | Irwin B. Malament Dpm A Professional Corporation | Podiatrist | 3410 N High School Rd Ste C, Indianapolis, IN 46224-1100 | 2007-01-26 |
1639288756 | James Louis Hilaire | Podiatrist | 7962 Oaklandon Rd, Indianapolis, IN 46236-7506 | 2006-08-30 |
1801827381 | Baker Foot Solutions Corp | Podiatrist | 6021 W 71st St, Suite A, Indianapolis, IN 46278-1705 | 2006-07-05 |
1548291016 | Baker Foot Solutions Corp | Podiatrist | 10122 E 10th St Ste 230, Indianapolis, IN 46229-2664 | 2006-07-05 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46202 |
Please comment or provide details below to improve the information on MIEASHA HICKS BARKSDALE.
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.