Organization Active NPI

Columbus Foot and Ankle Clinic, PC

  • Podiatrist
  • Columbus, IN
National Provider Identifier
1053436782
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000873 Issued in IN
Legal business name
COLUMBUS FOOT AND ANKLE CLINIC, PC
Practice address
360 Plaza Drive
Suite B
Columbus, IN 47201-2960
Phone
(812) 372-6274
Fax
(812) 372-9357
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. John Richard Hladik, DPM
Title
President
Phone
(812) 372-6274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 07000873 IN Primary

Addresses

Primary practice location

360 Plaza Drive
Suite B
Columbus, IN 47201-2960

Mailing address

360 Plaza Dr
Suite B
Columbus, IN 47201-2960
Phone (812) 372-6274

Other identifiers 1

IdentifierTypeStateIssuer
200183180MedicaidIN

National Provider Directory

National Provider Directory

Locations

411 Plaza Dr
Ste H
Columbus, IN 47201
Phone (812) 372-6274

940 N Marr Rd
Columbus, IN 47201
Phone (812) 372-1370

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1053436782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PLAZA DR",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012960",
            "telephone_number": "812-372-6274",
            "fax_number": "812-372-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PLAZA DRIVE",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012960",
            "telephone_number": "812-372-6274",
            "fax_number": "812-372-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS FOOT AND ANKLE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "HLADIK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-372-6274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200183180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.