Active NPI
Dr N W Worden PC
- Primary Podiatric Medicine Podiatrist
- Mishawaka, IN
National Provider Identifier
1003031204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 07000536A
- Legal business name
- DR N W WORDEN PC
- Practice address
- 2206 Lincolnway E
Mishawaka, IN 46544-3301 - Phone
- (574) 258-5060
- Fax
- (574) 258-5076
- NPI assigned
- Apr 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nelson William Worden, DPM
- Title
- President
- Phone
- (574) 258-5060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 07000536A | IN | Primary |
Addresses
Primary practice location
2206 Lincolnway E
Mishawaka, IN 46544-3301
Mailing address
2206 Lincoln Way E
Mishawaka, IN 46544-3301
Phone (574) 258-5060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DP2429 | Other | IN | RAILROAD MEDICARE |
| 200928250A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
2206 Lwe
Mishawaka, IN 46544
Phone (219) 258-5060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1003031204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 LINCOLN WAY E",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465443301",
"telephone_number": "574-258-5060",
"fax_number": "574-258-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 LINCOLNWAY E",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465443301",
"telephone_number": "574-258-5060",
"fax_number": "574-258-5076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR N W WORDEN PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-15",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "WORDEN",
"authorized_official_first_name": "NELSON",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "574-258-5060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IN",
"license": "07000536A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DP2429",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200928250A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.