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NPI Code Detail

MEDICARE: HOOSIER FOOT AND ANKLE LLC

MEDICARE: HOOSIER FOOT AND ANKLE 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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician
2363L00000XNurse Practitioner
3207Q00000XFamily Medicine Physician
4207R00000XInternal Medicine Physician
5261QP1100XPodiatric Clinic/Center
6213ES0103XFoot & Ankle Surgery Podiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11912198821OTHERINNPI SHELBYVILLE IN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41639172034OTHERINNPI PATRICK A DEHEER DPM
51841482940OTHERINNPI CARMEL IN
61003903220OTHERINNPI COLUMBUS IN OFFICE

General Provider Information

NPI Number : 1942492814
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOOSIER FOOT AND ANKLE LLC
Provider Business Mailing Address
First Line : 4101 CHARLOTTE AVE STE F185
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4066
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 695 W 2ND ST
Second Line :
City : JASPER
State : IN
Zip : 47546-3240
Country : US
Telephone Number : 317-346-7722
Fax Number :
Authorized Official
Title or Position : PODIATRIST
Name : PATRICK ALLEN DEHEER
Credential : DPM
Telephone Number : 317-346-7722
Provider Enumeration Date : 08/15/2007
Last Update Date : 06/02/2026

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Directions to “HOOSIER FOOT AND ANKLE LLC ” Practice Location

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