Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1174542443
Foot & Ankle Surgery Podiatrist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Madison Avenue, Greenwood, Johnson County, Indiana, 46142:46227, United States
GREENWOOD, IN 461424082
Phone: (317) 881-0788
Fax: (317) 889-0775
Type: Location
Greenwood Avenue, San Carlos, San Mateo County, California, 94070, United States
GREENWOOD, IN 46143
Phone: (317) 881-0788
Fax: (317) 889-0775
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46142)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IN | 11042 | Removal of skin and tissue first 20 sq cm or less | 36 | 14 |
| PODIATRY | IN | 11056 | Removal of 2 to 4 thickened skin growths | 37 | 20 |
| PODIATRY | IN | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 121 | 69 |
| PODIATRY | IN | 73630 | X-ray of foot, minimum of 3 views | 85 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN |
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