Michiana Foot Care Clinic L.L.C

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07001107A Issued in IN

Legal business name

MICHIANA FOOT CARE CLINIC L.L.C

Practice address

723 E Jefferson Blvd
South Bend, IN 46617-2902

Phone

(708) 738-2778

NPI assigned

Jan 5, 2012

Last updated

Jan 5, 2012By 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

Anthony Cole, D.P.M

Title

Member

Phone

(708) 738-2778

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1346510500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172902",
            "telephone_number": "708-738-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172902",
            "telephone_number": "708-738-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA FOOT CARE CLINIC L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "708-738-2778",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001107A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Michael, RBT
• Maritza Andreina Michalak, DMD
• Lisa Michaud Glenn, OTR
• Michiana Eye Center LLC
• Michiana Family Dental LLC
• Michiana Gastroenterology, Inc
• Michiana Hearing Care Center, P.C.
• Michiana Home Services, Inc. (Always Best Care Michiana - Home Health)
• Michiana Home Services, Inc. (Always Best Care-Michiana)
• Michiana Nutrition and Diabetes Education LLC

• Foot & Ankle Surgery Podiatrist in South Bend, IN
• Providers in South Bend, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.