Organization Active NPI

Mobile Podiatry of Indiana

Doing business as Special Care Podiatry of Indiana

  • Podiatrist
  • Evansville, IN
National Provider Identifier
1063894848
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MOBILE PODIATRY OF INDIANA
Doing business as
Special Care Podiatry of Indiana
Practice address
4501 Upper Mt Vernon Rd
Evansville, IN 47712
Phone
(855) 259-9183
Fax
(502) 254-4086
NPI assigned
Jun 29, 2015
Last updated
Jul 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Dusky Farmer
Title
Owner
Phone
(855) 259-9183

Specialties & licenses 1

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

Addresses

Primary practice location

4501 Upper Mt Vernon Rd
Evansville, IN 47712

Mailing address

12910 Shelbyville Rd Ste 300
Louisville, KY 40243-2404
Phone (855) 259-9183

Other names 1

  • Special Care Podiatry of Indiana Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1063894848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 SHELBYVILLE RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432404",
            "telephone_number": "855-259-9183",
            "fax_number": "502-254-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 UPPER MT VERNON RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47712",
            "telephone_number": "855-259-9183",
            "fax_number": "502-254-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PODIATRY OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "DUSKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-259-9183"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Care Podiatry of Indiana",
            "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 Jul 9, 2015; 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.