Foot and Ankle Pain Clinic Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

07000921A Issued in IN

Legal business name

FOOT AND ANKLE PAIN CLINIC CORPORATION

Practice address

3313 45TH St
Ste M
Highland, IN 46322-3294

Phone

(219) 924-1042

Fax

(219) 924-7989

NPI assigned

Jun 12, 2015

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vipul M Patel, DPMNPI 1780611467

Title

President

Phone

(219) 659-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Foot and Ankle Pain Clinic Corporation

  • Podiatrist
  • Whiting, IN
  • NPI 1699077990

  O20120501000126

  Same enrollment
• Foot and Ankle Pain Clinic Corporation

  • Durable Medical Equipment & Medical Supplies
  • Whiting, IN
  • NPI 1992982425

  O20120501000126

  Same enrollment

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.

• Vipul M Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Whiting, IN
  • NPI 1780611467
  Authorized official Same address or phone

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1285015578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 GREAT EGRET DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678581",
            "telephone_number": "708-206-0777",
            "fax_number": "708-206-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 45TH ST",
            "address_2": "STE M",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223294",
            "telephone_number": "219-924-1042",
            "fax_number": "219-924-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE PAIN CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-659-9000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "07000921A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Impressions Optometric Associates, LLC
• Ann Fitzgerald, PHD
• Fleming Healthcare LLC
• Laura Guadalupe Fletes, D.D.S.
• Megan Renae Flores, OTR
• Foreit Medical Group LLC (Focused Pain Relief)
• Foreit Medical, LLC (Focused Pain Relief)
• David John Foreit, D.O.
• Thomas Fraze
• FS Diagnostics Inc (Highland Diagnostics)

• Durable Medical Equipment & Medical Supplies in Highland, IN
• Providers in Highland, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.