Midstate Podiatry Associates LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

060-000800 Issued in IL

Legal business name

MIDSTATE PODIATRY ASSOCIATES LTD

Practice address

2708 McGraw Dr
Bloomington, IL 61704-6012

Phone

(309) 663-2306

Fax

(309) 662-1213

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. H R Hadden, D.P.M.

Title

President

Phone

(309) 663-2306

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Joseph R Setter, D.P.M.

  • Podiatrist
  • Bloomington, IL
  • NPI 1215048202
  Medicare reassignment NPD
• Lynae Aileen Pierson, DPM

  • Podiatrist
  • Decatur, IL
  • NPI 1952448961
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1548216047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 MCGRAW DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046012",
            "telephone_number": "309-663-2306",
            "fax_number": "309-662-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 MCGRAW DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046012",
            "telephone_number": "309-663-2306",
            "fax_number": "309-662-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSTATE PODIATRY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "HADDEN",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-663-2306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "060-000800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP  NUMBER",
            "identifier": "60115936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tera Marie Miatke
• Aaron Michaels, D.M.D.
• Christine Joy Michels, LCSW
• Vanessa N Middlebrooks
• Midstate Hearing Inc. (Audibel Hearing Service)
• Midwest Center for Sleep Medicine, LLC
• Midwest Chiropractic Center P.C.
• Midwest Neuromonitoring, Inc.
• Shaniqua Miles, LCSW
• Millennium Pain Center LLC

• Podiatrist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.