Patoka Valley Podiatry P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PATOKA VALLEY PODIATRY P.C.

Doing business as

Indiana Foot & Ankle

Practice address

645 W 5TH St
Jasper, IN 47546-3172

Phone

(812) 634-2778

Fax

(812) 634-2909

NPI assigned

Mar 13, 2007

Last updated

Feb 20, 2025By 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

Dr. Andrew J Rader, DPMNPI 1841216751

Title

President

Phone

(812) 634-2778

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Indiana Foot & Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Locations

Practitioners 5

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.

• Travis Matthew Hubbuch, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jasper, IN
  • NPI 1508157280
  Medicare reassignment Care Compare group NPD
• Chad Michael Nunamaker, DPM

  • Podiatrist
  • Jasper, IN
  • NPI 1255376364
  Medicare reassignment Care Compare group NPD
• Logan Orr, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jasper, IN
  • NPI 1407416472
  Medicare reassignment Care Compare group NPD
• Darin Richard Serletic, DPM

  • Podiatrist
  • Jasper, IN
  • NPI 1528040714
  Medicare reassignment Care Compare group NPD
• Andrew James Rader, DPM

  • Podiatrist
  • Jasper, IN
  • NPI 1841216751
  Authorized official Same address or phone

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1366575227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475470829",
            "telephone_number": "812-634-2778",
            "fax_number": "812-634-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W 5TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463172",
            "telephone_number": "812-634-2778",
            "fax_number": "812-634-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATOKA VALLEY PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-634-2778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000190155",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200978250",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH3370",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Gail Pankey, LMHCA
• Brogan Parker, PT, DPT
• Rhonda Faye Parks, LMHC
• Jonathon William Patmore, PA-C
• Tiffany Patmore, OTR/L
• Patoka Valley Radiology, PC
• Ann B Patterson, M.D.
• Kira Patton
• Pediatric Therapy Specialties
• Peer Recovery Counseling Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.