Active NPI
Mark Richard Hiskes, DPM
- Podiatrist
- Brownsburg, IN
National Provider Identifier
1952308504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000693
- Practice address
- 69 E Garner Rd
Ste 100
Brownsburg, IN 46112-7699 - Phone
- (317) 852-7511
- Fax
- (317) 852-7531
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000693 | IN | Primary |
Addresses
Primary practice location
69 E Garner Rd
Ste 100
Brownsburg, IN 46112-7699
Mailing address
69 E Garner Rd
Ste 100
Brownsburg, IN 46112-7699
Phone (317) 852-7511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100119070 | Medicaid | IN | |
| 1033312020 | Other | IN | DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000693 | IN | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1952308504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 E GARNER RD",
"address_2": "STE 100",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461127699",
"telephone_number": "317-852-7511",
"fax_number": "317-852-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 E GARNER RD",
"address_2": "STE 100",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461127699",
"telephone_number": "317-852-7511",
"fax_number": "317-852-7531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISKES",
"first_name": "MARK",
"middle_name": "RICHARD",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100119070",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "1033312020",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.