Northeast Foot & Ankle Clinic Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000957A Issued in IN

Legal business name

NORTHEAST FOOT & ANKLE CLINIC INC

Practice address

2510 E Dupont Rd
Ste. 234
Fort Wayne, IN 46825-1600

Phone

(260) 416-0070

Fax

(260) 416-0017

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Michael S Worpell, DPM

Title

Owner Physician

Phone

(260) 416-0070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Vegas Coleman, M.D.

  • Psychiatry Physician
  • Fort Bragg, NC
  • NPI 1629247267
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1497958946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD",
            "address_2": "STE. 234",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251600",
            "telephone_number": "260-416-0070",
            "fax_number": "260-416-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD",
            "address_2": "STE. 234",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251600",
            "telephone_number": "260-416-0070",
            "fax_number": "260-416-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FOOT & ANKLE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "WORPELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "260-416-0070",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000957A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela North, FNP-C, FNP-BC
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• Northeast Anesthesia Partners, Inc.
• Northeast Chiropractic Center, Inc
• Northeast Family Eyecare, LLC
• Northeast Indiana Ambulatory Surgery Center LLC
• Northeast Indiana Colon Rectal Surgeons PC
• Northeast Indiana Colon Rectal Surgeons, P.C.
• Northeast Indiana Genetic Counseling Center Inc
• Northeast Indiana Genetics, LLC

• Podiatrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.