NPI 1154327740 · live from the CMS NPI Registry
Jeffrey D Agricola, DPM
Podiatrist, Foot & Ankle Surgery in Carmel, IN. National Provider Identifier 1154327740, active.
NPI record
| NPI | 1154327740 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 277 E Carmel Dr, Ste D, Carmel, IN 46032 |
| Practice phone | 317-846-4111 |
| Mailing address | 3731 Guion Road, Suite C, Indianapolis, IN 46222 |
| Enumerated | June 28, 2005 |
| Last updated | April 15, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 07000947A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.