Organization Active NPI

Podiatry Partners Inc

  • Podiatrist
  • Highland, IN
National Provider Identifier
1235433715
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY PARTNERS INC
Practice address
9105A Indianapolis Blvd Ste 102
Highland, IN 46322-2591
Phone
(219) 923-9090
Fax
(219) 923-9147
NPI assigned
Dec 27, 2010
Last updated
Dec 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Authorized official

Name
Dr. Mark Alan Jones, DPM
Title
Owner
Phone
(219) 923-9090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 07001113A IN

Addresses

Primary practice location

9105A Indianapolis Blvd Ste 102
Highland, IN 46322-2591

Mailing address

9105A Indianapolis Blvd Ste 102
Highland, IN 46322-2591
Phone (219) 923-9090

Other identifiers 1

IdentifierTypeStateIssuer
2010237000MedicaidIN

National Provider Directory

National Provider Directory

Locations

2020 E Columbus Dr
East Chicago, IN 46312

2020 E Columbus Dr
Ste 2
East Chicago, IN 46312
Phone (219) 627-2955

9105A Indianapolis Blvd
#102
Highland, IN 46322
Phone (219) 923-9090

9105A Indianapolis Blvd
Ste 102
Highland, IN 46322
Phone (219) 923-9090

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": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513900800000",
    "number": "1235433715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105A INDIANAPOLIS BLVD STE 102",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222591",
            "telephone_number": "219-923-9090",
            "fax_number": "219-923-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105A INDIANAPOLIS BLVD STE 102",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222591",
            "telephone_number": "219-923-9090",
            "fax_number": "219-923-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2017-12-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-923-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001113A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010237000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.