NPI 1104576123 · live from the CMS NPI Registry
Craig Shouse Dpm PC
Podiatrist, Foot & Ankle Surgery in Indianapolis, IN. National Provider Identifier 1104576123, active.
NPI record
| NPI | 1104576123 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 8801 N Meridian St Ste 106, Indianapolis, IN 46260 |
| Practice phone | 317-299-2644 |
| Mailing address | 3410 N High School Rd Ste C, Indianapolis, IN 46224 |
| Enumerated | March 24, 2022 |
| Last updated | March 24, 2022 |
| Authorized official | Craig Shouse, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.