Organization Active NPI

Lloyd Podiatry Group Inc

  • Foot & Ankle Surgery Podiatrist
  • Fishers, IN
National Provider Identifier
1164657680
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000551A Issued in IN
Legal business name
LLOYD PODIATRY GROUP INC
Practice address
13914 State Road 238 E
Fishers, IN 46037-5506
Phone
(317) 842-1381
NPI assigned
May 28, 2009
Last updated
May 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Lisa Lohrey
Title
Credentialing Specialist
Phone
(317) 336-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000551A IN Primary

Addresses

Primary practice location

13914 State Road 238 E
Fishers, IN 46037-5506

Mailing address

13914 State Road 238 E
Fishers, IN 46037-5506
Phone (317) 842-1381

Other identifiers 1

IdentifierTypeStateIssuer
100361540AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930059474 IN DME Supplier - Physician - Podiatry 6901975671 Practice locations: Fishers, IN

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Lloyd Podiatry Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2117 E 5th St
Anderson, IN 46012
Phone (765) 642-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11611/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1164657680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 STATE ROAD 238 E",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460375506",
            "telephone_number": "317-842-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13914 STATE ROAD 238 E",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460375506",
            "telephone_number": "317-842-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD PODIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "LOHREY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "317-336-2106"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000551A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361540A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.