NPI 1154613636 · live from the CMS NPI Registry
Drew Heisten Christie, DPM
Podiatrist, Foot & Ankle Surgery in Greenwood, IN. National Provider Identifier 1154613636, active.
NPI record
| NPI | 1154613636 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 720 Fry Rd, Ste. A, Greenwood, IN 46142 |
| Practice phone | 317-881-0788 |
| Mailing address | 7671 Ballyshannon St, Indianapolis, IN 46217 |
| Enumerated | May 3, 2011 |
| Last updated | March 6, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 07001177A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.