Northeast Foot and Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

NORTHEAST FOOT AND ANKLE LLC

Practice address

7440 N Shadeland Ave Ste 100
Indianapolis, IN 46250-0058

Phone

(317) 842-7098

Fax

(317) 842-3999

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Melanie A Ladine, DPMNPI 1417953001

Title

Ceo

Phone

(317) 876-7361

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Lanie Kay Huffman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
  • NPI 1790983906

  Foot & Ankle Surgery, IN

  Medicare reassignment NPD
• Melanie A Ladine, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
  • NPI 1417953001

  Foot & Ankle Surgery

  NPD Authorized official

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1154924850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 HARCOURT RD STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602196",
            "telephone_number": "765-335-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462500058",
            "telephone_number": "317-842-7098",
            "fax_number": "317-842-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "LADINE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-876-7361",
        "authorized_official_name_prefix": "Dr.",
        "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": [],
    "other_names": []
}

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• September D Northington
• Northland Hearing Center, Inc.

• All providers in Indianapolis, IN
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.