Craig Shouse DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CRAIG SHOUSE DPM PC

Practice address

8801 N Meridian St Ste 106
Indianapolis, IN 46260-2353

Phone

(317) 299-2644

Fax

(317) 328-8914

NPI assigned

Mar 24, 2022

Organization subpart

Yes

Parent organization

CRAIG SHOUSE DPM PCAs reported in NPPES

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

Authorized official

Name

Craig Shouse, DPMNPI 1760801195

Title

Owner

Phone

(317) 299-2644

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Craig Shouse DPM PC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1669096681

  1951717677

  Same PAC ID

Tax ID family

Craig Shouse DPM PC3 organizations share this tax ID, including this one

Part of

Craig Shouse DPM PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Craig Shouse DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Greencastle, IN
  • NPI 1073263091
  NPD tax ID
• Craig Shouse DPM PC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1669096681
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Craig Shouse DPM PC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1669096681
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Shouse, DPM

  • Podiatrist
  • Indianapolis, IN
  • NPI 1760801195
  NPD (past) Authorized official

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1104576123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 N HIGH SCHOOL RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462240002",
            "telephone_number": "317-299-2644",
            "fax_number": "317-328-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 N MERIDIAN ST STE 106",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602353",
            "telephone_number": "317-299-2644",
            "fax_number": "317-328-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG SHOUSE DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRAIG SHOUSE DPM PC",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "SHOUSE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-299-2644",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janet@shousepodiatry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8801 N Meridian St Ste 106",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitchell K Craft, DO
• Roberta Craft, P.A.
• Lacy Lynn Crafton, PA
• Deborah Jo Cragen
• Craig R Johnston MD Inc
• Craig Shouse DPM PC
• Adam Kyle Craig, M.S., LMHC
• Claudia Eve Craig, PA-C
• Clayton Thomas Craig, DDS
• Connor Richard Craig

• Foot & Ankle Surgery Podiatrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.