Prevmed Podiatry Group, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000570A Issued in IN

Legal business name

PREVMED PODIATRY GROUP, PC

Practice address

1499 Windhorst Way Ste 120
Greenwood, IN 46143-8800

Phone

(317) 886-6639

Fax

(888) 547-0377

NPI assigned

Apr 4, 2016

Organization subpart

No

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

Authorized official

Name

Claudia Jackson

Title

Vice President of Finance

Phone

(317) 522-2054

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1700249059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 WINDHORST WAY STE 120",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438800",
            "telephone_number": "317-886-6639",
            "fax_number": "888-547-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 WINDHORST WAY STE 120",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438800",
            "telephone_number": "317-886-6639",
            "fax_number": "888-547-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVMED PODIATRY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "317-522-2054"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000570A",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Reliance Family Care LLC
• Precision Care Lab LLC
• Prelude Behavioral Counseling, LLC
• Premier Family Medicine, LLC
• Prevmed Health Services, PC
• Prevmed, Inc
• Lillian Price- Maze
• Adam Price, DO
• Tracy R Price, M.D.
• Megan Marie Prickel, MA, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.