Individual provider Active NPI

Mark Howard Schlichter, D.P.M.

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1083710099
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000358A Issued in IN
Practice address
7412 Rockville Rd
Ste. a
Indianapolis, IN 46214-3097
Phone
(317) 271-0041
Fax
(317) 271-0148
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000358A IN Primary

Addresses

Primary practice location

7412 Rockville Rd
Ste. a
Indianapolis, IN 46214-3097

Mailing address

7412 Rockville Rd
Ste. a
Indianapolis, IN 46214-3097
Phone (317) 271-0041

Other identifiers 1

IdentifierTypeStateIssuer
100058410AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000358AINMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1083710099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 ROCKVILLE RD",
            "address_2": "STE. A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143097",
            "telephone_number": "317-271-0041",
            "fax_number": "317-271-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 ROCKVILLE RD",
            "address_2": "STE. A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143097",
            "telephone_number": "317-271-0041",
            "fax_number": "317-271-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLICHTER",
        "first_name": "MARK",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000358A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100058410A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.