H. Fred Preuss, Jr.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00188 Issued in KY

Legal business name

H. FRED PREUSS, JR.

Practice address

3684 Highway 150
Ste. 3
Floyds Knobs, IN 47119-9692

Phone

(812) 923-9837

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Howard Fred Preuss Jr., DPMNPI 1851399448

Title

Owner

Phone

(812) 923-9837

Specialties & licenses 9

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• H. Fred Preuss, Jr.

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1760705537

  3072555960

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Howard Fred Preuss Jr., DPM

  • Podiatrist
  • Floyds Knobs, IN
  • NPI 1851399448

  O20100930096808

  Same enrollment

Locations

Practitioners 3

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

• Howard Fred Preuss Jr., DPM

  • Podiatrist
  • Floyds Knobs, IN
  • NPI 1851399448

  KY, Podiatrist

  Medicare reassignment Care Compare group NPD Authorized official
• Anne Carole Preuss, DPM

  • Podiatrist
  • Floyds Knobs, IN
  • NPI 1194373373

  KY, Podiatrist

  Medicare reassignment Care Compare group NPD
• Syed Abdul Khader, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elizabethtown, KY
  • NPI 1841272721

  Podiatrist

  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1467512947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3684 HIGHWAY 150",
            "address_2": "STE. 3",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3684 HIGHWAY 150",
            "address_2": "STE. 3",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199692",
            "telephone_number": "812-923-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. FRED PREUSS, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "PREUSS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-923-9837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00188",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000617A",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "KY",
            "license": "00188",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07000617A",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": "KY",
            "license": "00188",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": "IN",
            "license": "07000617A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00188",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000617A",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "07000617A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80900277",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200521650A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freedom at Home LLC
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• Nilmar Paola Gonzalez
• Gwyneth E Gorley, PT
• Corbin Hale
• Tamara Haley, MS, CEP, CDCES
• Marissa Hancock, LMHC
• Debra K Harter, PT
• Highlander Fire Protection District

• All providers in Floyds Knobs, IN
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.