Organization Active NPI

Arch Advantage Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1427899822
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ARCH ADVANTAGE FOOT AND ANKLE CENTER
Practice address
5905 S Emerson Ave
Indianapolis, IN 46237-2402
Phone
(770) 784-7039
Fax
(317) 786-3077
NPI assigned
Jun 3, 2024
Last updated
Sep 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Authorized official

Name
Dr. Cathy Oluwatoyin Coker, DPMNPI 1922313535
Title
Podiatrist
Phone
(770) 403-6094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

5905 S Emerson Ave
Indianapolis, IN 46237-2402

Mailing address

4617 Bluff Rd
Indianapolis, IN 46217-3472
Phone (770) 403-4064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241114001688 IN Part B Supplier - Clinic/Group Practice 2163956012 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1427899822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 BLUFF RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462173472",
            "telephone_number": "770-403-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372402",
            "telephone_number": "770-784-7039",
            "fax_number": "317-786-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH ADVANTAGE FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "770-403-6094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; 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.