Riverside Podiatry Clinic, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000307 Issued in IN

Legal business name

RIVERSIDE PODIATRY CLINIC, INC.

Practice address

1900 W Kem Rd
Marion, IN 46952-1548

Phone

(765) 664-0107

Fax

(765) 664-6541

NPI assigned

Jul 22, 2006

Last updated

Jun 18, 2015By 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. Gary Lynn Adsit, DPMNPI 1700888948

Title

Owner

Phone

(765) 664-0107

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Gary Lynn Adsit, D.P.M.

  • Podiatrist
  • Marion, IN
  • NPI 1700888948
  Authorized official Same address or phone

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1780605055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W KEM RD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521548",
            "telephone_number": "765-664-0107",
            "fax_number": "765-664-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W KEM RD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521548",
            "telephone_number": "765-664-0107",
            "fax_number": "765-664-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PODIATRY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "ADSIT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-664-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000307",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DR6511",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000083983",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean B Ricks, MD
• Courtney Riddle
• Darla Riddle, PTA
• Jessalyn Riddle, RBT
• Amy Jo Rimpler
• Riverview Hospital (Colonial Oaks Health and Rehabiliation Center)
• Riverview Hospital (Wesleyan Health Care Center)
• Ghislain Rivet, M.D.
• Robbins & Zirkle, PTRS. (Robbins & Zirkle, Progressive Optometry)
• Thompson N. Robbins, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.