Offutt Foot and Ankle Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000991A Issued in IN

Legal business name

OFFUTT FOOT AND ANKLE INC

Practice address

1106 S a St
Richmond, IN 47374-5526

Phone

(765) 965-3668

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stephen M Offutt, DPM

Title

President Director

Phone

(765) 965-3668

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669604047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 CHESTER BLVD",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741907",
            "telephone_number": "765-965-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 S A ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745526",
            "telephone_number": "765-965-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFUTT FOOT AND ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OFFUTT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "765-965-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000991A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200958540",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "07000991A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS INDIVIDUAL NPI NUMBER",
            "identifier": "1700889102",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott O'Brien, MD
• Taylor B O'Dell, PA
• Kassandra O'Donnell
• Edmond Joseph O'Leary, DO
• Victor Ameh Odoma, MD
• Cherie H. Ogren, MSW
• Oladele M. Oladapo, M.D.
• Noah Andrew Samuel Oliver
• Jennifer Elizabeth Olson, MD
• Jesenia Orduno-Vargas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.