Clay County Podiatry, Llc in Brazil - Foot & Ankle Surgery
Clay County Podiatry, Llc - NPI 1972532125
Clay County Podiatry, Llc is a Foot & Ankle Surgery in Brazil, Indiana. Clay County Podiatry, Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Clay County Podiatry, Llc is 1972532125. The last update date is 2019-05-31.
Clay County Podiatry, Llc's current location address is 955 W Craig Ave, Brazil, Indiana. You can contact this provider via phone number 8124489290 and fax number 8124489296. The mailing address for Clay County Podiatry, Llc is 955 W Craig Ave, Brazil, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clay County Podiatry, Llc |
|---|---|
| Address | 955 W Craig Ave, Brazil, Indiana |
| Phone Number | 8124489290 |
| Fax Number | 8124489296 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Goodale Anne Miranda |
| Credentials | DPM |
| Telephone Number | 8124489290 |
NPI Number Detail
| NPI Number | 1972532125 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2019-05-31 |
Provider Mailing Address Detail
| Address | 955 W Craig Ave |
|---|---|
| City | Brazil |
| State | Indiana (IN) |
| Post Code | 478347400 |
| Phone Number | 8124489290 |
| Fax Number | 8124489296 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 07001015A |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 392910 | IN | BLUECROSSBLUESHIELD | |
| 385202 | IN | CIGNA | |
| 200825350A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clay County Podiatry, Llc by the Centers for Medicare & Medicaid Services?
The Clay County Podiatry, Llc has been assigned the NPI (National Provider Identifier) 1972532125 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Clay County Podiatry, Llc's facilities are situated?
The facilities of Clay County Podiatry, Llc are physically located at the following address: 955 W Craig Ave, Brazil, IN, 478347400.
What is Clay County Podiatry, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Clay County Podiatry, Llc's specialized field of practice is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0103X.
When did the Clay County Podiatry, Llc receive its 1972532125?
The Clay County Podiatry, Llc was issued its 1972532125 on 2006-07-01, which is the date when the organization was assigned this unique identifier.
When was the information regarding Clay County Podiatry, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clay County Podiatry, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-05-31.