AMERICAN FOOT AND ANKLE INC NPI 1104154863

NPI Information

NPI: 1104154863
Provider Name: AMERICAN FOOT AND ANKLE INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
632 WEST MAIN STREET
PERU, IN
ZIP 46970
Phone: (765) 473-4220
Get Directions

AMERICAN FOOT AND ANKLE INC is a podiatrist in Peru, IN. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. AMERICAN FOOT AND ANKLE INC NPI is 1104154863. The provider is registered as an organization entity type.

The provider's business location address is:

632 WEST MAIN STREET
PERU, IN
ZIP 46970
Phone: (765) 473-4220
Fax: (765) 473-4223

The provider's authorized official is Bradley R Hammersley .
The authorized official title is Doctor/owner and has the following contact phone number (765) 473-4220.

The enumeration date for this NPI number is 11/18/2009 and was last updated on 10/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		07000906A	INDIANA	No
2	213E00000X	Podiatrist		07000906A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6249610001	MEDICARE NSC	INDIANA
2	267640	MEDICARE PIN	INDIANA
3	200984730	MEDICAID	INDIANA
4	000000670197	OTHER	INDIANA	BLUE CROSS BLUE SHIELD
5	7977917	OTHER	INDIANA	CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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