NATASHA MANDULA (NPI# 1851682561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851682561 |
| Entity Type | Individual |
| Full Name | NATASHA MANDULA |
| Credential | DPM |
| Practice Address |
9615 Keilman St Saint John IN 46373-9406 |
| Practice Telephone | 2193650220 |
| Mailing Telephone | 2193650220 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2014-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07001187A | IN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
9615 KEILMAN ST |
| City | SAINT JOHN |
| State | IN |
| Zip Code | 46373-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472270 | Great Lakes Orthopedics & Sports Medicine, PC | Podiatrist | 9615 Keilman St, Saint John, IN 46373-9406 | 2005-07-26 |
| 1639648322 | Mariah Nicole Isaacs | Physician Assistant | 9615 Keilman St, Saint John, IN 46373-9406 | 2018-11-26 |
| 1548764376 | Great Lakes Orthopedics Physical Therapy P.C. | Physical Therapist | 9615 Keilman St, Saint John, IN 46373-9406 | 2018-03-19 |
| 1558613547 | Timothy Brian Williams | Physician Assistant | 9615 Keilman St, Saint John, IN 46373-9406 | 2012-10-15 |
| 1659699890 | Rehabilitation & Musculoskeletal Medicine Specialist, LLC | Physical Medicine & Rehabilitation | 9615 Keilman St, Saint John, IN 46373-9406 | 2010-05-12 |
| 1346424728 | Center for Orthotic & Prosthetic Excellence, LLC | Prosthetic/Orthotic Supplier | 9615 Keilman St, Suite 200, Saint John, IN 46373 | 2007-12-20 |
| 1972521771 | Linda Kristina | Physical Therapist | 9615 Keilman St, Saint John, IN 46373-9406 | 2006-07-18 |
| 1821039389 | Richard E Mcclain | Orthopaedic Surgery | 9615 Keilman St, Saint John, IN 46373-9406 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHN |
| Zip Code | 46373 |
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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.