Active NPI
Family Foot & Ankle Care of Jasper, PC
- Foot Surgery Podiatrist
- Jasper, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 07001046A
- Legal business name
- FAMILY FOOT & ANKLE CARE OF JASPER, PC
- Practice address
- 695 W 2ND St Ste C
Jasper, IN 47546 - Phone
- (812) 481-7200
- Fax
- (812) 481-7201
- NPI assigned
- Mar 10, 2014
- Last updated
- Feb 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Barry, DPM
- Title
- President
- Phone
- (812) 481-2741
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 07001046A | IN | Primary |
Addresses
Primary practice location
695 W 2ND St Ste C
Jasper, IN 47546
Mailing address
695 W 2ND St Ste C
Jasper, IN 47546-3240
Phone (812) 481-7200
Other practice location 1
721 W 13th St
Suite 205
Jasper, IN 47546-1817
Phone (812) 481-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
721 W 13th St
Ste 205
Jasper, IN 47546
Phone (812) 481-7200
600 S State Road 57
Washington, IN 47501
Phone (812) 257-1052
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Jasper, IN
- NPI 1558568493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548979200000",
"number": "1528484904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 W 2ND ST STE C",
"city": "JASPER",
"state": "IN",
"postal_code": "475463240",
"telephone_number": "812-481-7200",
"fax_number": "812-481-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 W 2ND ST STE C",
"city": "JASPER",
"state": "IN",
"postal_code": "47546",
"telephone_number": "812-481-7200",
"fax_number": "812-481-7201"
}
],
"practiceLocations": [
{
"address_1": "721 W 13th St",
"address_2": "Suite 205",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "IN",
"postal_code": "475461817",
"country_code": "US",
"telephone_number": "812-481-7200",
"fax_number": "812-481-7201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY FOOT & ANKLE CARE OF JASPER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-10",
"last_updated": "2019-02-01",
"status": "A",
"authorized_official_last_name": "BARRY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-481-2741",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "IN",
"license": "07001046A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.