Podiatric Medical Associates Pc in Portage - Foot & Ankle Surgery
Podiatric Medical Associates Pc - NPI 1982728200
Podiatric Medical Associates Pc is a Foot & Ankle Surgery in Portage, Indiana. Podiatric Medical Associates Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Podiatric Medical Associates Pc is 1982728200. The last update date is 2013-12-18.
Podiatric Medical Associates Pc's current location address is 6289 Central Ave, Portage, Indiana. You can contact this provider via phone number 2197632008 and fax number 2197622291. The mailing address for Podiatric Medical Associates Pc is 6289 Central Ave, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Podiatric Medical Associates Pc |
|---|---|
| Address | 6289 Central Ave, Portage, Indiana |
| Phone Number | 2197632008 |
| Fax Number | 2197622291 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Grandfield K Stephen |
| Credentials | DPM |
| Telephone Number | 2197632008 |
NPI Number Detail
| NPI Number | 1982728200 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2013-12-18 |
Provider Mailing Address Detail
| Address | 6289 Central Ave |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463683725 |
| Phone Number | 2197632008 |
| Fax Number | 2197622291 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
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 |
|---|---|---|---|
| 200326020 | IN | -- | |
| 492470 | IN | RR MEDICARE | |
| 100907960 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Podiatric Medical Associates Pc?
The Podiatric Medical Associates Pc has been issued the NPI (National Provider Identifier) 1982728200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Podiatric Medical Associates Pc?
The Podiatric Medical Associates Pc is situated at 6289 Central Ave, in the city of Portage, state of IN, with the zip code 463683725.
What is Podiatric Medical Associates Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Podiatric Medical Associates Pc's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
When did the Podiatric Medical Associates Pc receive its 1982728200?
The Podiatric Medical Associates Pc was issued its 1982728200 on 2007-03-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Podiatric Medical Associates Pc last refreshed?
The information related to the Podiatric Medical Associates Pc, including its address, specialty, and other relevant details, was last updated on 2013-12-18.
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