Craig Shouse DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CRAIG SHOUSE DPM PC

Practice address

3410 N High School Rd Ste C
Indianapolis, IN 46224-0002

Phone

(317) 299-2644

Fax

(317) 328-8914

NPI assigned

Jun 5, 2020

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig Shouse, DPMNPI 1760801195

Title

Podiatrist

Phone

(317) 299-2644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Craig Shouse DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
  • NPI 1104576123

  1951717677

  Same PAC ID

Tax ID family

Craig Shouse DPM PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Craig Shouse DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Greencastle, IN
  • NPI 1073263091
  NPD tax ID
• Craig Shouse DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
  • NPI 1104576123
  NPD tax ID

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Craig Shouse DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Greencastle, IN
  • NPI 1073263091
  NPPES parent name
• Craig Shouse DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
  • NPI 1104576123
  NPPES parent name

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.

• Craig Shouse, DPM

  • Podiatrist
  • Indianapolis, IN
  • NPI 1760801195
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1669096681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 N HIGH SCHOOL RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462240002",
            "telephone_number": "317-299-2644",
            "fax_number": "317-328-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 N HIGH SCHOOL RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462240002",
            "telephone_number": "317-299-2644",
            "fax_number": "317-328-8914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 N Meridian St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602353",
            "country_code": "US",
            "telephone_number": "317-574-0971",
            "fax_number": "317-328-8914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1542 S Bloomington St",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "IN",
            "postal_code": "461352212",
            "country_code": "US",
            "telephone_number": "800-395-6409",
            "fax_number": "317-328-8914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRAIG SHOUSE DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SHOUSE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "317-299-2644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Craft, P.A.
• Lacy Lynn Crafton, PA
• Deborah Jo Cragen
• Craig R Johnston MD Inc
• Craig Shouse DPM PC
• Adam Kyle Craig, M.S., LMHC
• Claudia Eve Craig, PA-C
• Clayton Thomas Craig, DDS
• Connor Richard Craig
• Dale R Craig, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.