FOOT AND ANKLE CENTER OF SOUTHERN INDIANA, LLC


Address: 419 W 1st St, Bloomington, IN 47403-2403
Phone: 8123556933

FOOT AND ANKLE CENTER OF SOUTHERN INDIANA, LLC (NPI# 1801997358) 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) 1801997358
Entity Type Organization
Organization Name FOOT AND ANKLE CENTER OF SOUTHERN INDIANA, LLC
Practice Address 419 W 1st St
Bloomington
IN 47403-2403
Mailing Address 2567 E Nottingham Ct
Bloomington
IN 47401-8356
Practice Telephone 8123556933
Practice Fax Number 8123556958
Enumeration Date 2006-09-26
Last Update Date 2010-08-03
Authorized Official Name DR. KENNETH WESLEY OGLESBY (OWNER/MANAGER)
Authorized Official Telephone 8123556933
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 07000932A IN Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200900490A 05
IN BCBS 000000256323 01

Office Location

Street Address 419 W 1ST ST
City BLOOMINGTON
State IN
Zip Code 47403-2403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023119740 Terrence M Greene Surgery 419 W 1st St, Bloomington, IN 47403-2403 2006-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609947571 Kevin J Powers, Dpm Podiatrist 719 W 2nd St, Bloomington, IN 47403-2209 2006-11-13
1790791416 Gerald W Paul Podiatrist 3801 Ge Rd Ste 4, Bloomington, IL 61704 2006-08-01
1548216047 Midstate Podiatry Associates Ltd Podiatrist 2708 Mcgraw Dr, Bloomington, IL 61704-6012 2006-05-26
1154388460 Abel R Aguilar Podiatrist 1416 W Caber Ct, Bloomington, IN 47403-7906 2006-04-28
1235101619 Brian L Hamm Podiatrist 2502 E Empire St, Bloomington, IL 61704-3738 2006-02-01
1780117671 Foot Specialist LLC Podiatrist 1416 W Caber Ct, Bloomington, IN 47403-7906 2017-04-06
1437598596 Stephanie Danielle Van Heerden Podiatrist 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2013-06-21
1902067291 Heather Lynn Jensen Podiatrist 7920 Cedar Ave S, Bloomington, MN 55425 2008-06-19
1972620334 Kevin Powers Dpm Podiatrist 2499 W Cota Dr, Bloomington, IN 47403-4217 2007-03-23
1285735712 Kenneth Wesley Oglesby Podiatrist 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2006-09-26
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 47403

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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