Organization Active NPI

Five Indiana Foot LLC

Doing business as Evansville Foot & Ankle Center

  • Foot Surgery Podiatrist
  • Evansville, IN
National Provider Identifier
1053424572
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
07000766A Issued in IN
Legal business name
FIVE INDIANA FOOT LLC
Doing business as
Evansville Foot & Ankle Center
Practice address
3700 Bellemeade Ave Ste 117
Suite 100
Evansville, IN 47714-0106
Phone
(812) 475-8900
Fax
(812) 475-0024
NPI assigned
Aug 17, 2006
Last updated
Apr 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Dr. Thomas Kenneth Hupfer, DPMNPI 1104862820
Title
Physician
Phone
(812) 475-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 07000766A IN Primary

Addresses

Primary practice location

3700 Bellemeade Ave Ste 117
Suite 100
Evansville, IN 47714-0106

Mailing address

PO Box 15454
Evansville, IN 47716-0454
Phone (812) 475-8900

Other names 1

  • Evansville Foot & Ankle Center Doing business as

National Provider Directory

National Provider Directory

Locations

3700 Bellemeade Ave
Evansville, IN 47714
Phone (812) 475-8900

3700 Bellemeade Ave
Ste 117
Evansville, IN 47714
Phone (812) 475-8900

Practitioners & affiliated clinicians

Practitioners 2

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1053424572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15454",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477160454",
            "telephone_number": "812-475-8900",
            "fax_number": "812-475-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BELLEMEADE AVE STE 117",
            "address_2": "SUITE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140106",
            "telephone_number": "812-475-8900",
            "fax_number": "812-475-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE INDIANA FOOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "HUPFER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "812-475-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000766A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evansville Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.