Organization Active NPI

Vincennes Podiatry Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Vincennes, IN
National Provider Identifier
1881880938
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000905 Issued in IN
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

Updated by the provider on Dec 5, 2011

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
254060OtherINMEDICARE

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.