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JOHN M. DORN NPI 1538343298


NPI Information

NPI: 1538343298
Provider Name: JOHN M. DORN

Doing Business As: JOHN M. DORN DPM

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
944 RICHARD RD
DYER, IN
ZIP 46311
Phone: (219) 322-4066
Get Directions

JOHN M. DORN is a podiatrist in Dyer, 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. JOHN M. DORN NPI is 1538343298. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As John M. Dorn Dpm.

The provider's business location address is:

944 RICHARD RD
DYER, IN
ZIP 46311-936
Phone: (219) 322-4066

The provider's authorized official is John M Dorn .
The authorized official title is Owner and has the following contact phone number (219) 322-4066.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.


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
1213E00000XPodiatrist07000629AINDIANAYes

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
1100202200MEDICAIDINDIANA
2T39086MEDICARE UPININDIANA
30477580001MEDICARE NSCINDIANA
4628050MEDICARE PININDIANA
5000000095590OTHERINDIANAANTHEM
690000913OTHERILLINOISBLUE CROSS/BLUE SHIELD
7480019631OTHERINDIANARAILROAD MEDICARE
8786400MEDICARE PINILLINOIS
95436006OTHERINDIANAAETNA
10480007478OTHERILLINOISRAILROAD MEDICARE

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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