Active NPI
Eugene S. Pawlak, DPM
- Foot & Ankle Surgery Podiatrist
- Madison, IN
National Provider Identifier
1811069230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000709A
- Practice address
- 160 Demaree Dr
Madison, IN 47250-4622 - Phone
- (812) 265-5200
- Fax
- (812) 265-5207
- NPI assigned
- Nov 14, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000709A | IA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 07000709A | IA | |
| Radiology Podiatrist | 213ER0200X | 07000709A | IN | |
| Sports Medicine Podiatrist | 213ES0000X | 07000709A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000709A | IN | Primary |
Addresses
Primary practice location
160 Demaree Dr
Madison, IN 47250-4622
Mailing address
160 Demaree Dr
Madison, IN 47250-4622
Phone (812) 265-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000709A | IA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1811069230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 DEMAREE DR",
"city": "MADISON",
"state": "IN",
"postal_code": "472504622",
"telephone_number": "812-265-5200",
"fax_number": "812-265-5207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 DEMAREE DR",
"city": "MADISON",
"state": "IN",
"postal_code": "472504622",
"telephone_number": "812-265-5200",
"fax_number": "812-265-5207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLAK",
"first_name": "EUGENE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IA",
"license": "07000709A",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IA",
"license": "07000709A",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "IN",
"license": "07000709A",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "IN",
"license": "07000709A",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07000709A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.