Hoosier Foot & Ankle, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

HOOSIER FOOT & ANKLE, LLC

Practice address

2545 Fox Pointe Dr
Suite E
Columbus, IN 47203-3220

Phone

(812) 378-3668

Fax

(812) 378-5770

NPI assigned

Oct 9, 2006

Last updated

Jun 8, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Allen Deheer, DPM

Title

Owner/Physician

Phone

(317) 346-7722

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hoosier Foot & Ankle LLC

  • Podiatrist
  • Carmel, IN
  • NPI 1841482940

  O20060308000696

  Same enrollment
• Hoosier Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Jasper, IN
  • NPI 1942492814

  O20060308000696

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1003903220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 NORTHWOOD PLAZA DRIVE",
            "address_2": "BOX 351",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "46131",
            "telephone_number": "317-346-7722",
            "fax_number": "317-346-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 FOX POINTE DR",
            "address_2": "SUITE E",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033220",
            "telephone_number": "812-378-3668",
            "fax_number": "812-378-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER FOOT & ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "DEHEER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "317-346-7722",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "DB0934",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200450170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hook-Superx LLC (CVS Pharmacy #06792)
• Hook-Superx LLC (CVS Pharmacy)
• Hook-Superx LLC (CVS Pharmacy #17029)
• Hoosier Care III, Inc.
• Hoosier Enterprises V, Inc. (Willow Crossing Health and Rehabilitation Center)
• Joan Horton
• Lindsey Horton, OT
• Jade Hoskins
• Jennifer C Hoskins, NP
• Matthew Thomas Hotek, PHARMD, MHA

• Foot & Ankle Surgery Podiatrist in Columbus, IN
• Providers in Columbus, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.