South Shore Foot and Ankle Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07000941A Issued in IN

Legal business name

SOUTH SHORE FOOT AND ANKLE INC

Practice address

1101 Glendale Blvd Ste 101
Valparaiso, IN 46383-3769

Phone

(219) 464-4100

Fax

(219) 464-4114

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Cynthia GrundyNPI 1508865098

Title

Owner

Phone

(219) 464-4100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21892/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Lembcke Grundy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Valparaiso, IN
  • NPI 1508865098
  Medicare reassignment Care Compare group NPD Authorized official
• Dominik Cornelius Meyer, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Valparaiso, IN
  • NPI 1932548500
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1013270800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ASPEN RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681027",
            "telephone_number": "219-464-4100",
            "fax_number": "219-464-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD STE 101",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833769",
            "telephone_number": "219-464-4100",
            "fax_number": "219-464-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE FOOT AND ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "GRUNDY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-464-4100"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000941A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Somodi, DT-ED
• Ariana Sone
• Suzette V Sorrells, LMHC, QBHP
• Melissa Soto
• South Shore Ambulatory Surgical Center, LLC
• Julie Southwell
• Ella Rae Sowa
• Brent Allen Sowers, OTR
• Mary Ellen Spaite, PSY.D.
• Amy Catherine Spanopoulos, MSW

• Foot & Ankle Surgery Podiatrist in Valparaiso, IN
• Providers in Valparaiso, 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 Jul 29, 2025; 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.