MEDICARE: CLINTON HEYER

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	07001432A	IN
2	390200000X	Student in an Organized Health Care Education/Training Program
3	213E00000X	Podiatrist	07001432A	IN

General Provider Information

NPI Number	:	1881219913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLINTON HEYER

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 N SHADELAND AVE STE 105
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2084
Country	:	US
Telephone Number	:	317-957-9200
Fax Number	:	317-957-9205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2020
Last Update Date	:	12/23/2024

Similar Medicare Providers

1073922563 — A1C CARE CENTER INC
Practice Location Address:

7400 N SHADELAND AVE STE 235
INDIANAPOLIS, IN
46250-2084

Practice Phone: 317-537-9522
Practice Fax: 317-219-0550

1528683661 — AUSTIN QUEBEDEAUX
Practice Location Address:

7400 N SHADELAND AVE STE 105
INDIANAPOLIS, IN
46250-2084

Practice Phone: 317-957-9200
Practice Fax: 317-957-9205

1285956664 — MR. STEVEN M. HARRIGAN RPH
Practice Location Address:

5101 E THOMPSON RD
INDIANAPOLIS, IN
46237-2084

Practice Phone: 317-786-2748
Practice Fax:

1992022248 — AKOSUA GYEABOA LCSW
Practice Location Address:

2932 WESTLEIGH DR
INDIANAPOLIS, IN
46268-2084

Practice Phone: 317-748-4041
Practice Fax: 317-475-9693

1841015989 — CALEB PARKER
Practice Location Address:

2937 WESTLEIGH DR
INDIANAPOLIS, IN
46268-2084

Practice Phone: 317-296-1646
Practice Fax:

1871485359 — DAVID OLATUNBOSUN FOWOPE PMHNP
Practice Location Address:

7830 JOHNSON RD
INDIANAPOLIS, IN
46250-2075

Practice Phone: 317-396-0683
Practice Fax:

Directions to “ CLINTON HEYER ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.