David W Powell, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000467 Issued in IN

Practice address

4640 W Lloyd Expy
Evansville, IN 47712-6517

Phone

(812) 422-4336

Fax

(812) 421-0994

NPI assigned

May 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Podiatry, PC

  • Podiatrist
  • Evansville, IN
  • NPI 1093732844
  NPD (past)

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1346243078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W LLOYD EXPY",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126517",
            "telephone_number": "812-422-4336",
            "fax_number": "812-421-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W LLOYD EXPY",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477126517",
            "telephone_number": "812-422-4336",
            "fax_number": "812-421-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-26",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "000000042550",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004080A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brock Evan Potter, ATC, LAT
• Douglas Winton Potts
• Mary Beth Potts, DPT
• William Bruce Poulsen, D.D.S.
• Amber Nicole Powell, NP
• Lori Powell, LCSW
• Stephanie M Powell, LCSW
• Syrrus Powell, LCSW
• Teresa L Powell, CPHT
• Carson Powers, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.