Foot and Ankle Clinic
Organization Active NPI Podiatrist · Decatur, IN
NPI 1710912936 · NPPES record last updated Apr 11, 2008
Key facts
- NPI
- 1710912936
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 07000685 (IN)
- Legal business name
- FOOT AND ANKLE CLINIC
- Practice address
- 145 S 2ND St
Decatur, IN 46733-1664 - Phone
- (260) 407-8000
- Fax
- (260) 407-8004
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Jonathan M Smith, DPM
- Title
- Provider
- Phone
- (260) 407-8000
Practitioners 1
-
Jonathan Mark Smith, DPM
National Provider Directory
Locations
145 S 2nd St
Decatur, IN 46733
Phone (219) 724-7179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 07000685 | IN | Yes |
Addresses
Primary practice location
145 S 2ND St
Decatur, IN 46733-1664
Mailing address
145 S 2ND St
Decatur, IN 46733-1664
Phone (260) 407-8000
Other providers in Decatur, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.