HDC Podiatry, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

HDC PODIATRY, LLC

Doing business as

HealthDrive Podiatry Group

Practice address

201 N Illinois St
16TH Floor South Tower
Indianapolis, IN 46204-1904

Phone

(888) 964-6681

Fax

(888) 662-0859

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Daniel Banks Baker

Title

Ceo

Phone

(847) 721-0352

Specialties & licenses 1

Addresses

Other names 1

• HealthDrive Podiatry Group Doing business as

Locations

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1942734280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD",
            "address_2": "SUITE 300",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N ILLINOIS ST",
            "address_2": "16TH FLOOR SOUTH TOWER",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041904",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDC PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BANKS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-721-0352"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthDrive Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthDrive Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trendia Hazelwood
• David Hazra, M.D., M.P.H
• Lindsey M. Hazzard, MSW
• Tanea Renee Hazzard
• HCR Manor Care
• Angela He
• Jun Kit He, MD
• Weston He
• Mitchell Thomas Heacock
• Lauren Ansley Head Kyrychenko, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.