Grundy Podiatry LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

GRUNDY PODIATRY LLC

Practice address

951 Transport Dr
Valparaiso, IN 46383-8434

Phone

(219) 405-3775

NPI assigned

Aug 19, 2021

Last updated

Aug 19, 2021By 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

Cynthia Grundy, DPM

Title

Member

Phone

(219) 405-3775

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1851067763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ASPEN RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681027",
            "telephone_number": "219-405-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 TRANSPORT DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838434",
            "telephone_number": "219-405-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNDY PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "GRUNDY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "219-405-3775",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athena.com",
            "affiliation": "Y",
            "affiliationName": "South Shore Foot and Ankle Inc",
            "address_1": "951 Transport Dr",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463838434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Gronski, PTA
• Irene M Grosdanis, LCSW
• Juliana Grove, O.D.
• Growing Smiles Pediatric Dentistry PC
• Ashley L Grumbine, NP-C
• Cynthia Lembcke Grundy, DPM
• Reejee Nisnisan Guanzon, OTR
• Tyrone Orland Cardenas Guarin, P.T.
• Briam E Guerre
• Bari A Guibord, PHD

• Podiatric Clinic/Center in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Podiatric Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.