Monticello Podiatry LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

07001110A Issued in IN

Legal business name

MONTICELLO PODIATRY LLC

Practice address

101 W Broadway St
Monticello, IN 47960-2110

Phone

(844) 687-3338

Fax

(844) 687-3338

NPI assigned

Apr 12, 2016

Organization subpart

Yes

Parent organization

MONTICELLO PODIATRY LLCAs reported in NPPES

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

Authorized official

Name

Dr. Murtuza Ali Peerbhai, DPMNPI 1740316124

Title

President

Phone

(765) 430-6963

Specialties & licenses 1

Addresses

Other names 1

• logansport podiatry Other name

Tax ID family

Monticello Podiatry LLC2 organizations share this tax ID, including this one

Part of

Monticello Podiatry LLC

Other organizations with this tax ID 1

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

• Monticello Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • West Lafayette, IN
  • NPI 1508510447
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Murtuza A. Peerbhai, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monticello, IN
  • NPI 1740316124
  NPD (past) Authorized official

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1780048108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602110",
            "telephone_number": "844-687-3338",
            "fax_number": "844-687-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602110",
            "telephone_number": "844-687-3338",
            "fax_number": "844-687-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO PODIATRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTICELLO PODIATRY LLC",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "PEERBHAI",
        "authorized_official_first_name": "MURTUZA",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-430-6963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07001110A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "logansport podiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William J Misenheimer, D.C.
• Monticello Eye Center, P.C.
• Monticello Medical Center, LLC
• Monticello Medical Center, LLC
• Monticello Podiatry LLC
• Monticello Women'S Clinic
• Shanda Mossholder
• Sharon D Musall, ANP
• Kain T Myer, OD
• Catherine Neary, PHARMD

• Primary Podiatric Medicine Podiatrist in Monticello, IN
• Providers in Monticello, IN by specialty
• Primary Podiatric Medicine Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.