N W Worden, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000536A Issued in IN

Practice address

2206 Lincoln Way E
Mishawaka, IN 46544-3301

Phone

(574) 258-5060

Fax

(574) 258-5076

NPI assigned

May 23, 2006

Last updated

Jan 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1508811308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465461128",
            "telephone_number": "574-258-5060",
            "fax_number": "574-258-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 LINCOLN WAY E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465443301",
            "telephone_number": "574-258-5060",
            "fax_number": "574-258-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDEN",
        "first_name": "N",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000536A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410026672",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalai Wong
• Kay Lynn Wood
• Carla Woodcox
• Brianne Woods
• Mikenzie Woods, OD
• Angela Marie Wright, PA
• Cloey E Wright
• Laura Wright
• Michael Wroblewski, OT
• Annie Wu, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.