Active NPI
Elek LLC
- Podiatric Clinic/Center
- Mishawaka, IN
National Provider Identifier
1821400326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 07001174A
- Legal business name
- ELEK LLC
- Doing business as
- Foot and Ankle Clinic of Michiana
Lincolnway Foot Care - Practice address
- 425 Lincolnway E
Mishawaka, IN 46544-2213 - Phone
- (574) 288-8200
- Fax
- (574) 288-8226
- NPI assigned
- Jun 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cassandra Elizabeth Papak, DPM
- Title
- Physician
- Phone
- (219) 765-8045
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | 07001174A | IN | Primary |
Addresses
Primary practice location
425 Lincolnway E
Mishawaka, IN 46544-2213
Mailing address
10216 Heather Lake Dr
Osceola, IN 46561-8899
Phone (219) 765-8045
Other names 2
- Foot and Ankle Clinic of Michiana
- Lincolnway Foot Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
425 Lincolnway E
Mishawaka, IN 46544
Phone (574) 288-8200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Mishawaka, IN
- NPI 1396031837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1821400326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10216 HEATHER LAKE DR",
"city": "OSCEOLA",
"state": "IN",
"postal_code": "465618899",
"telephone_number": "219-765-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 LINCOLNWAY E",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465442213",
"telephone_number": "574-288-8200",
"fax_number": "574-288-8226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-02",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "PAPAK",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "219-765-8045",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "IN",
"license": "07001174A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foot and Ankle Clinic of Michiana",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lincolnway Foot Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.