NORTHWEST INDIANA PODIATRY CLINIC, LLC - NPI 1639375058

Q: What is Northwest Indiana Podiatry Clinic, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

On this page

About Northwest Indiana Podiatry Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST INDIANA PODIATRY CLINIC, LLC (NPI 1639375058) is a healthcare organization registered as a foot & ankle surgery in Whiting, Indiana and active in the NPI registry since June 2007. The organization lists Fortunee Massuda, Medical Director & Ceo, as its authorized official.

NPPES Registry Identity

NPI1639375058

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameNORTHWEST INDIANA PODIATRY CLINIC, LLC

Location Address1534 119TH STWhiting, IN 46394-1733

Mailing Address9933 S Western Ave, Suite 102Chicago, IL 60643-1810 · (773) 233-3800 · Fax (773) 233-2513

Phone(219) 659-0630

Fax(219) 473-0018

Organization SubpartNo

Authorized OfficialFortunee MassudaMedical Director & Ceo · (773) 233-3800

Enumeration DateJune 22, 2007

Last NPPES UpdateNovember 12, 2009

✔ NPI 1639375058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Also ListedAssistant, PodiatricTaxonomy 211D00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPodiatrist · Public MedicineTaxonomy 213EP0504X

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X

Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X

Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X

1534 119TH ST, Whiting, IN 46394

Open in Google Maps ↗

Other Identifiers 6

Medicaid200124730BIN

Medicare PINDA4713

Medicare PIN1639375058IN

Other90001145IN · Bcbs

Medicare PIN210580IN

Medicare NSC5007670002IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA M. BENCHIK-ABRINKO M.D.

Internal Medicine

1534 119TH ST
WHITING, IN 46394

Lake County (219) 659-1222

BENCHIK MEDICAL HEALTH CENTER PC

Internal Medicine

1534 119TH ST
WHITING, IN 46394

Lake County (219) 659-1222

SHAKTI BANWAT

Physical Therapy Assistant

1534 119TH ST
WHITING, IN 46394

Lake County (219) 655-5285

CHARRU MALIK P.T.

Physical Therapist

1534 119TH ST
WHITING, IN 46394

Lake County (219) 655-5285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Indiana Podiatry Clinic, LLC's NPI number?

The NPI number for Northwest Indiana Podiatry Clinic, LLC is 1639375058. It was assigned to this organization in the NPPES registry on June 22, 2007.

Where is Northwest Indiana Podiatry Clinic, LLC located?

Northwest Indiana Podiatry Clinic, LLC is located at 1534 119th St, Whiting, IN 46394. The listed phone number is (219) 659-0630.

What is Northwest Indiana Podiatry Clinic, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Northwest Indiana Podiatry Clinic, LLC was last updated on November 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.