NORTHWEST INDIANA PODIATRY CLINIC, LLC - NPI 1801888359

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.

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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 1801888359) is a healthcare organization registered as a foot & ankle surgery in East Chicago, Indiana and active in the NPI registry since August 2005. The organization lists Fortunee Massuda, Medical Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1801888359

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameNORTHWEST INDIANA PODIATRY CLINIC, LLC

Location Address4320 FIR STEast Chicago, IN 46312-3052

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

Phone(219) 398-0100

Fax(219) 398-4192

Organization SubpartNo

Authorized OfficialFortunee MassudaMedical Director/ceo · (219) 398-0100

Enumeration DateAugust 19, 2005

Last NPPES UpdateFebruary 20, 2014

✔ NPI 1801888359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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

Taxonomy Code213ES0103X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPodiatrist · Public MedicineTaxonomy 213EP0504X

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X

4320 FIR ST, East Chicago, IN 46312

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Other Identifiers 6

Medicare PIN1801888359IN

Other90001145IN · Bcbs

Medicare PIN210580IN

Medicaid200-124730AIN

Medicare NSC5007670003IN

Medicare PINDA4713

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

MRS. KRYSTAL YVONNE RUNYON

4320 FIR ST, SUITE 210
EAST CHICAGO, IN 46312

Lake County (219) 228-4776

AMIT KAKKAR MD

Internal Medicine (Interventional Cardiology)

4320 FIR ST, STE 320
EAST CHICAGO, IN 46312

Lake County (219) 392-7992

CENTRO MEDICO RUIZ-MONTERO PC

Internal Medicine

4320 FIR ST, STE 410
EAST CHICAGO, IN 46312

Lake County (219) 397-8965

ST CATHERINE HOSPITAL INC

Otolaryngology

4320 FIR ST, STE 210
EAST CHICAGO, IN 46312

Lake County (219) 392-7665

219 HEALTH NETWORK, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

4320 FIR ST, UNIT 220
EAST CHICAGO, IN 46312

Lake County (219) 703-2591

ST CATHERINE HOSPTIAL INC

Orthopaedic Surgery

4320 FIR ST, STE 201
EAST CHICAGO, IN 46312

Lake County (219) 392-7664

MR. GREGORY BROMMETT STEPHENSON PA-C

Physician Assistant

4320 FIR ST, SUITE 210
EAST CHICAGO, IN 46312

Lake County (219) 836-5464

DR. RAJARAMAN SUBRAMANIAN IYER MD

Pediatrics

4320 FIR ST, STE 208
EAST CHICAGO, IN 46312

Lake County (219) 398-9265

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 1801888359. It was assigned to this organization in the NPPES registry on August 19, 2005.

Where is Northwest Indiana Podiatry Clinic, LLC located?

Northwest Indiana Podiatry Clinic, LLC is located at 4320 Fir St, East Chicago, IN 46312. The listed phone number is (219) 398-0100.

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 February 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.