Active NPI
Vincennes Podiatry Associates, LLC
- Foot & Ankle Surgery Podiatrist
- Vincennes, IN
National Provider Identifier
1881880938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000905
- Legal business name
- VINCENNES PODIATRY ASSOCIATES, LLC
- Practice address
- 202 Broadway St
Vincennes, IN 47591-1228 - Phone
- (812) 882-3312
- Fax
- (812) 882-6181
- NPI assigned
- Sep 22, 2007
- 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. Derek Alan Besing, D.P.M.
- Title
- Podiatrist
- Phone
- (812) 882-3312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000905 | IN | Primary |
Addresses
Primary practice location
202 Broadway St
Vincennes, IN 47591-1228
Mailing address
PO Box 943
Vincennes, IN 47591-0943
Phone (812) 882-3312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254060 | Other | IN | MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323043200000",
"number": "1881880938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 943",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475910943",
"telephone_number": "812-882-3312",
"fax_number": "812-882-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 BROADWAY ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911228",
"telephone_number": "812-882-3312",
"fax_number": "812-882-6181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENNES PODIATRY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-22",
"last_updated": "2011-12-05",
"status": "A",
"authorized_official_last_name": "BESING",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "812-882-3312",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07000905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "254060",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.