NPI 1881078202 · live from the CMS NPI Registry
Community Physicians Of Indiana INC
Podiatrist in Indianapolis, IN. National Provider Identifier 1881078202, active.
NPI record
| NPI | 1881078202 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 3660 Guion Rd, Suite 230b, Indianapolis, IN 46222 |
| Practice phone | 317-644-5005 |
| Enumerated | July 15, 2015 |
| Last updated | September 30, 2016 |
| Authorized official | Anthony Javorka, Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Sports Medicine | 213ES0000X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.