Healthcare Provider Details

I. General information

NPI: 1720992530
Provider Name (Legal Business Name): PREUSS PODIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3684 HIGHWAY 150 STE 3
FLOYDS KNOBS IN
47119-9692
US

IV. Provider business mailing address

3684 HIGHWAY 150 STE 3
FLOYDS KNOBS IN
47119-9692
US

V. Phone/Fax

Practice location:
  • Phone: 812-923-9837
  • Fax: 812-923-1872
Mailing address:
  • Phone: 812-923-9837
  • Fax: 812-923-1872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANNE CAROLE PREUSS
Title or Position: DPM
Credential:
Phone: 812-923-9837