Hoosier Foot & Ankle LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000710 Issued in IN

Legal business name

HOOSIER FOOT & ANKLE LLC

Doing business as

Hoosier Foot & Ankle LLC

Practice address

11725 N Illinois St Ste 560
Carmel, IN 46032-3009

Phone

(317) 346-7722

Fax

(317) 346-7725

NPI assigned

Aug 13, 2007

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HOOSIER FOOT AND ANKLE LLCAs reported in NPPES

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

Authorized official

Name

Dr. Patrick Allen Deheer, DPM

Title

Podiatrist

Phone

(317) 346-7722

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HOOSIER FOOT & ANKLE LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hoosier Foot & Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Columbus, IN
  • NPI 1003903220

  O20060308000696

  Same enrollment
• Hoosier Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Jasper, IN
  • NPI 1942492814

  O20060308000696

  Same enrollment

Part of

Hoosier Foot Ankle LLC

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1841482940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 NORTHWOOD PLAZA DR",
            "address_2": "BOX 351",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312702",
            "telephone_number": "317-346-7722",
            "fax_number": "317-346-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 N ILLINOIS ST STE 560",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323009",
            "telephone_number": "317-346-7722",
            "fax_number": "317-346-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER FOOT & ANKLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOOSIER FOOT AND ANKLE LLC",
        "enumeration_date": "2007-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "DEHEER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "317-346-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200450170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOOSIER FOOT & ANKLE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOOSIER FOOT & ANKLE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hope Chiropractic LLC
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• Jaclyn Rickoff Hopen, DDS
• Michael L Hopen, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.