The Foot and Ankle Center LLC
Organization Active NPI Podiatrist · Bloomington, IN
NPI 1124099882 · NPPES record last updated Nov 20, 2007
Key facts
- NPI
- 1124099882
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- THE FOOT AND ANKLE CENTER LLC
- Practice address
- 2920 McIntyre Dr
Suite 100
Bloomington, IN 47403-4221 - Phone
- (812) 336-1185
- Fax
- (812) 336-3153
- NPI assigned
- Jan 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Matthew Parmenter, DPM
- Title
- Owner
- Phone
- (812) 336-1185
Practitioners 4
-
Gerry L Hash, DPM
-
Bryan E Hendrix, DPM
-
Gary S. Schepper, FNP, CS
-
Justin R Hudson, DPM
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
2920 McIntyre Dr
Suite 100
Bloomington, IN 47403-4221
Mailing address
2920 McIntyre Dr
Suite 100
Bloomington, IN 47403-4221
Phone (812) 336-1185
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG1627 | Other | RAILROAD MEDICARE |
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.