Westfield Foot and Ankle, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07001049A Issued in IN

Legal business name

WESTFIELD FOOT AND ANKLE, LLC

Practice address

16411 Southpark Dr
Suite B
Westfield, IN 46074-8468

Phone

(317) 896-6655

Fax

(317) 896-6081

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Ryan Sullivan, DPMNPI 1972533933

Title

Owner,Member,Podiatrist

Phone

(618) 534-9193

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• David Ryan Sullivan, D.P.M.

  • Podiatrist
  • Westfield, IN
  • NPI 1972533933
  Medicare reassignment Care Compare group NPD Authorized official
• Kenneth P Stumpf, D.P.M.

  • Podiatrist
  • Indianapolis, IN
  • NPI 1629208103
  Medicare reassignment Care Compare group NPD
• Nicholas P Costidakis, DPM

  • Podiatrist
  • Lafayette, IN
  • NPI 1972571297
  NPD (past)
• William K Oliver III, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lafayette, IN
  • NPI 1730149261
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1821262353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16411 SOUTHPARK DR",
            "address_2": "SUITE B",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748468",
            "telephone_number": "317-896-6655",
            "fax_number": "317-896-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16411 SOUTHPARK DR",
            "address_2": "SUITE B",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748468",
            "telephone_number": "317-896-6655",
            "fax_number": "317-896-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFIELD FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER,MEMBER,PODIATRIST",
        "authorized_official_telephone_number": "618-534-9193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001049A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200910730",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000574941",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westfield Ambulatory Surgery Center, LLC
• Westfield Dental Care (Simply Dental)
• Westfield Dental LLC
• Westfield Endoscopy Center, LLC
• Westfield Family Dental
• Westfield Pharmacy, Inc.
• Westfield Senior Living, LLC
• Westifeld Washington
• Jerry L Wheeler Jr., LMHC
• Ashley White Johnson, LCSW

• Foot & Ankle Surgery Podiatrist in Westfield, IN
• Providers in Westfield, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.