We Heel the Sole Podiatry LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07001149A Issued in IN

Legal business name

WE HEEL THE SOLE PODIATRY LLC

Practice address

10935 Beechwood Dr E
Indianapolis, IN 46280-1222

Phone

(317) 441-1093

Fax

(317) 669-2739

NPI assigned

Mar 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jerwana Laster, DPMNPI 1528317518

Title

Podiatrist

Phone

(317) 441-1093

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• We Heel the Sole Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Memphis, TN
  • NPI 1558818666

  0648579243

  Same PAC ID

Tax ID family

We Heel the Sole Podiatry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• We Heel the Sole Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Memphis, TN
  • NPI 1558818666
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley Oralivia Holloway - Marshall

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1942593231

  IN

  Medicare reassignment Care Compare group NPD
• Jerwana Laster, DPM

  • Primary Podiatric Medicine Podiatrist
  • Indianapolis, IN
  • NPI 1528317518
  Medicare reassignment Authorized official
• Eugenia C Malenkos, D.P.M.

  • Podiatrist
  • Indianapolis, IN
  • NPI 1992960124
  Medicare reassignment NPD

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1457713406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 BEECHWOOD DR E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801222",
            "telephone_number": "317-441-1093",
            "fax_number": "317-669-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 BEECHWOOD DR E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801222",
            "telephone_number": "317-441-1093",
            "fax_number": "317-669-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE HEEL THE SOLE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "LASTER",
        "authorized_official_first_name": "JERWANA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "317-441-1093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07001149A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Podiatric Medicine Podiatrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Primary Podiatric Medicine Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.