Midwest Foot & Ankle LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

070000768A Issued in IN

Legal business name

MIDWEST FOOT & ANKLE LLC

Practice address

8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987

Phone

(317) 297-3338

Fax

(317) 297-9997

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kirk S Holston, D.P.M.NPI 1760462089

Title

Owner

Phone

(317) 297-3338

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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.

• Kirk S Holston, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
  • NPI 1760462089
  NPD Authorized official

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1285968867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SHORE DR",
            "address_2": "SUITE 301",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544693",
            "telephone_number": "317-297-3338",
            "fax_number": "317-297-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 NAAB RD",
            "address_2": "SUITE 360",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601987",
            "telephone_number": "317-297-3338",
            "fax_number": "317-297-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "HOLSTON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-297-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "070000768A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200527610B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000364508",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200527610A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005497063",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Center for Pelvic Health LLC
• Midwest Counseling Associates
• Midwest Ear Institute, P.C.
• Midwest Eye Consultants, P.C. (Cataract & Laser Institute - Indianapolis)
• Midwest Eye Consultants, P.C. (Neuro-Ophthalmology Institute)
• Midwest Foot and Ankle, LLC
• Midwest Gastroenterology LLC (Sedation Services of Indiana LLC)
• Midwest Glaucoma Associates
• Midwest Medical Associates LLC
• Midwest Medical Transport Company LLC

• 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 Nov 25, 2009; 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.