Beech Grove Foot Care Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000694A Issued in IN

Legal business name

BEECH GROVE FOOT CARE INC

Doing business as

Indy South foot AndAnkle

Practice address

7855 S. Emerson Ave
Suite T
Indianapolis, IN 46237

Phone

(317) 300-0106

Fax

(317) 497-8383

NPI assigned

Jun 11, 2007

Last updated

Mar 15, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

INDY SOUTH FOOT & ANKLEAs reported in NPPES

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

Authorized official

Name

Jeffrey S Stevens, D.P.M.NPI 1962519330

Title

Doctor

Phone

(317) 300-0106

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Indy South foot AndAnkle Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Part of

Beech Grove Foot Care Inc

Locations

Interoperability endpoints

• Direct secure messaging: drjstevens@indysouthfootandankle.medentdirect.com

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.

• Jeffrey S Stevens, D.P.M.

  • Podiatrist
  • Indianapolis, IN
  • NPI 1962519330
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1285837773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE",
            "address_2": "SUITE T",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378668",
            "telephone_number": "317-300-0106",
            "fax_number": "317-497-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 S. EMERSON AVE",
            "address_2": "SUITE T",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-300-0106",
            "fax_number": "317-497-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECH GROVE FOOT CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDY SOUTH FOOT & ANKLE",
        "enumeration_date": "2007-06-11",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "317-300-0106",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000694A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CB3164",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/ANTHEM PROV #",
            "identifier": "87821",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjstevens@indysouthfootandankle.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "dr stevens",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7855 S. Emerson Ave",
            "address_2": "Suite T",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Indy South foot AndAnkle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.