Riverside Podiatry Clinic, Inc. in Marion - Podiatrist
Riverside Podiatry Clinic, Inc. - NPI 1780605055
Riverside Podiatry Clinic, Inc. is a Podiatrist in Marion, Indiana. Riverside Podiatry Clinic, Inc. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Riverside Podiatry Clinic, Inc. is 1780605055. The last update date is 2015-06-18.
Riverside Podiatry Clinic, Inc.'s current location address is 1900 W Kem Rd, Marion, Indiana. You can contact this provider via phone number 7656640107 and fax number 7656646541. The mailing address for Riverside Podiatry Clinic, Inc. is 1900 W Kem Rd, Marion, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverside Podiatry Clinic, Inc. |
|---|---|
| Address | 1900 W Kem Rd, Marion, Indiana |
| Phone Number | 7656640107 |
| Fax Number | 7656646541 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Adsit Lynn Gary |
| Credentials | DPM |
| Telephone Number | 7656640107 |
NPI Number Detail
| NPI Number | 1780605055 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2015-06-18 |
Provider Mailing Address Detail
| Address | 1900 W Kem Rd |
|---|---|
| City | Marion |
| State | Indiana (IN) |
| Post Code | 469521548 |
| Phone Number | 7656640107 |
| Fax Number | 7656646541 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 7000307 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DR6511 | IN | RR MEDICARE | |
| 83983 | IN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Riverside Podiatry Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The Riverside Podiatry Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1780605055. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Riverside Podiatry Clinic, Inc. located?
The Riverside Podiatry Clinic, Inc. is located at 1900 W Kem Rd, Marion, IN 469521548.
What is Riverside Podiatry Clinic, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Riverside Podiatry Clinic, Inc. is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did Riverside Podiatry Clinic, Inc. receive its 1780605055 assignment from the Centers for Medicare & Medicaid Services?
The Riverside Podiatry Clinic, Inc. was assigned its 1780605055 on 2006-07-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Riverside Podiatry Clinic, Inc. most recently updated or revised?
The information pertaining to Riverside Podiatry Clinic, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2015-06-18.
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