MERIDIAN FOOT AND ANKLE CENTER (NPI# 1912100694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912100694 |
| Entity Type | Organization |
| Organization Name | MERIDIAN FOOT AND ANKLE CENTER |
| Practice Address |
3266 N Meridian St Suite 802 Indianapolis IN 46208-5846 |
| Practice Telephone | 3179272455 |
| Practice Fax Number | 3179272092 |
| Mailing Telephone | 3179272455 |
| Mailing Fax Number | 3179272092 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEN KRUEGER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3175750185 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 07000391A | IN | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 07000857A | IN | Podiatric Medicine & Surgery Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MERIDIAN FOOT AND ANKLE CENTER, INC. | 1601 North Main Street, Elwood, IN 46036 |
| Street Address |
3266 N MERIDIAN ST SUITE 802 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729137 | Karen S Rance | Registered Nurse | 3266 N Meridian St, Suite 900, Indianapolis, IN 46208-5846 | 2005-06-08 |
| 1003437278 | Hayley Norwood Holmes | Registered Nurse | 3266 N Meridian St, Indianapolis, IN 46208-5846 | 2020-04-29 |
| 1114323151 | Imsg Inc. | Clinic/Center | 3266 N Meridian St, Suite 708, Indianapolis, IN 46208-5846 | 2014-11-18 |
| 1578964169 | Katherine Ann Back | Nurse Practitioner | 3266 N Meridian St, Indianapolis, IN 46208-5846 | 2014-09-15 |
| 1598188260 | Meridian Medical Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3266 N Meridian St, Suite 101, Indianapolis, IN 46208 | 2014-01-30 |
| 1336562578 | Meridian Medical Services Inc | Radiology | 3266 N Meridian St, Suite 101, Indianapolis, IN 46208 | 2014-01-23 |
| 1568691699 | Phyllis I Okolo | Internal Medicine | 3266 N Meridian St, Indianapolis, IN 46208-5846 | 2009-07-10 |
| 1255579942 | Meridian Medical Services, Inc | Radiology | 3266 N Meridian St, Suite 101, Indianapolis, IN 46208-5846 | 2009-02-03 |
| 1265632566 | Tammie Rena Maiden | Nurse Practitioner | 3266 N Meridian St, Indianapolis, IN 46208 | 2007-07-24 |
| 1669692513 | Dr Segun Rasaki Md LLC | Family Medicine | 3266 N Meridian St, Suite 601, Indianapolis, IN 46208-5846 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
| 1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
| 1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
| 1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
| 1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
| Find all providers in zip 46208 | ||||
| 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 |
|---|---|---|---|---|
| 1194107607 | Mark Wavrunek | Podiatrist | 161 Washington Pointe Dr, Indianapolis, IN 46229-2693 | 2015-06-19 |
| 1639300486 | Paul M Kanter | Podiatrist | 348 Woodrow Ave, Indianapolis, IN 46241-0828 | 2009-07-28 |
| 1629208103 | Kenneth P Stumpf | Podiatrist | 6626 E 75th St, Ste 500, Indianapolis, IN 46250-2805 | 2009-07-20 |
| 1992960124 | Eugenia C Malenkos | Podiatrist | 1410 West 10th Street, Indianapolis, IN 46202-1616 | 2008-07-28 |
| 1740457555 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3388 Founders Rd, Suite C, Indianapolis, IN 46268-1443 | 2008-05-12 |
| 1093988263 | Jeremy Patrick Spaulding | Podiatrist | 8128 E Washington St, Indianapolis, IN 46219-6814 | 2008-04-09 |
| 1306018767 | Robert S. Mandresh Dpm PC Inc | Podiatrist | 8330 Naab Rd Ste 135, Indianapolis, IN 46260-1932 | 2008-03-26 |
| 1285837773 | Beech Grove Foot Care Inc | Podiatrist | 7855 S. Emerson Ave, Suite T, Indianapolis, IN 46237 | 2007-06-11 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1447329826 | Thomas Wayne Zunica | Podiatrist | 3901 Meadows Dr, Indianapolis, IN 46205-3113 | 2006-11-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46208 |
Please comment or provide details below to improve the information on MERIDIAN FOOT AND ANKLE CENTER.
| 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.