Organization Active NPI

Christie Foot & Ankle, LLC

  • Podiatrist
  • Greenwood, IN
National Provider Identifier
1629592191
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07001177A Issued in IN
Legal business name
CHRISTIE FOOT & ANKLE, LLC
Practice address
3031 Meridian Meadows Rd
Greenwood, IN 46142-1011
Phone
(317) 408-8400
NPI assigned
Jul 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Sue Martin
Title
Office Manager
Phone
(317) 884-9948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 07001177A IN Primary

Addresses

Primary practice location

3031 Meridian Meadows Rd
Greenwood, IN 46142-1011

Mailing address

3031 Meridian Meadows Rd
Greenwood, IN 46142-1011
Phone (317) 408-8400

Other names 1

  • Christie Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170925001199 IN Part B Supplier - Clinic/Group Practice 6709150113 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, IN
O20180126000868 IN DME Supplier - Physician - Podiatry 6709150113 Practice locations: Greenwood, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629592191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 MERIDIAN MEADOWS RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421011",
            "telephone_number": "317-408-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 MERIDIAN MEADOWS RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421011",
            "telephone_number": "317-408-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE FOOT & ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-884-9948",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001177A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christie Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.