NPI 1730363748 · live from the CMS NPI Registry
Active Podiatry PC
Podiatrist in Crawfordsville, IN. National Provider Identifier 1730363748, active.
NPI record
| NPI | 1730363748 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1910 Lafayette Rd, Crawfordsville, IN 47933 |
| Practice phone | 765-362-7200 |
| Enumerated | December 27, 2007 |
| Last updated | July 1, 2026 |
| Authorized official | Yong Chae, President/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 07000857A (IN) |
| Podiatrist primary | 213E00000X | 07000857A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.