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NPI Code Detail

MEDICARE: ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC

MEDICARE: ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist07000610AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255547550
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC
Provider Business Mailing Address
First Line : PO BOX 147
Second Line :
City : CARMEL
State : IN
Zip : 46082-0147
Country : US
Telephone Number : 317-841-9930
Fax Number : 317-815-8505
Provider Business Practice Location Address
First Line : 6296 RUCKER RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-4852
Country : US
Telephone Number : 317-841-9930
Fax Number : 317-815-8505
Authorized Official
Title or Position : OWNER
Name : DR. THOMAS WAYNE ZUNICA
Credential : D.P.M
Telephone Number : 317-841-9930
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/29/2010

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Directions to “ADVANCED CENTER FOR THE EVALUATION OF FOOT AND ANKLE PAIN LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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