Organization Active NPI

Foot One Inc

  • Prosthetic/Orthotic Supplier
  • Elwood, IN
National Provider Identifier
1013931658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FOOT ONE INC
Practice address
1601 Main St
Elwood, IN 46036-2025
Phone
(765) 557-7216
Fax
(765) 557-7223
NPI assigned
Jul 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pam Haig
Title
Owner
Phone
(765) 557-7216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1601 Main St
Elwood, IN 46036-2025

Mailing address

1601 Main St
Elwood, IN 46036-2025
Phone (765) 557-7216

Other identifiers 2

IdentifierTypeStateIssuer
000000111834OtherINBCBS OF IN
000000001514OtherINMPLAN (HMO)

National Provider Directory

National Provider Directory

Locations

1601 Main St
Elwood, IN 46036
Phone (317) 872-3074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013931658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460362025",
            "telephone_number": "765-557-7216",
            "fax_number": "765-557-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460362025",
            "telephone_number": "765-557-7216",
            "fax_number": "765-557-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT ONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAIG",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-557-7216"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IN",
            "identifier": "000000111834",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN (HMO)",
            "identifier": "000000001514",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.