J Karl Winckelbach, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07000316A Issued in IN

Practice address

33 E County Line Rd
Ste B
Greenwood, IN 46143-1043

Phone

(317) 882-9303

Fax

(317) 882-6605

NPI assigned

Mar 31, 2006

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Southside Foot Clinic P C

  • Podiatrist
  • Greenwood, IN
  • NPI 1528117553
  Authorized official Same address or phone

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1356302137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E COUNTY LINE RD STE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431043",
            "telephone_number": "317-882-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E COUNTY LINE RD",
            "address_2": "STE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431043",
            "telephone_number": "317-882-9303",
            "fax_number": "317-882-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCKELBACH",
        "first_name": "J",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000316A",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000316A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100047960A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Wilson, RBT
• Tiana Wilson, RBT
• Wendy M Wilson
• Da'Shay Wims
• Anitra Lashun Winbush, CNA
• Wendy Sue Winckelbach, DPM
• Thomas Ray Winders, PHYSICIAN ASSISTANT
• Rowena Ancheta Wingco, PT
• Jennifer Wingfield, COTA
• Kayleigh Rose Winter

• Foot & Ankle Surgery Podiatrist in Greenwood, IN
• Providers in Greenwood, 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 Aug 26, 2008; 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.