Organization Active NPI

Northern Indiana Foot & Ankle Assoc Inc

  • Podiatric Clinic/Center
  • Plymouth, IN
National Provider Identifier
1659366029
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
NORTHERN INDIANA FOOT & ANKLE ASSOC INC
Practice address
504 Colonial Court
Plymouth, IN 46563-1860
Phone
(574) 935-5563
Fax
(574) 935-0015
NPI assigned
Sep 13, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marci A Zielinski
Title
Manager
Phone
(574) 935-5563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

504 Colonial Court
Plymouth, IN 46563-1860

Mailing address

504 Colonial CT
Plymouth, IN 46563-1860
Phone (574) 935-5563

National Provider Directory

National Provider Directory

Locations

4455 Edison Lakes Pkwy
#200A
Mishawaka, IN 46545
Phone (219) 259-9668

711 W McKinley Ave
Mishawaka, IN 46545
Phone (219) 259-9668

504 Colonial Ct
Plymouth, IN 46563
Phone (574) 935-0127

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659366029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 COLONIAL CT",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631860",
            "telephone_number": "574-935-5563",
            "fax_number": "574-935-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 COLONIAL COURT",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631860",
            "telephone_number": "574-935-5563",
            "fax_number": "574-935-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INDIANA FOOT & ANKLE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIELINSKI",
        "authorized_official_first_name": "MARCI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "574-935-5563",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.