Provider Demographics
NPI:1225401003
Name:IPGCFA INC
Entity Type:Organization
Organization Name:IPGCFA INC
Other - Org Name:INDIANA PODIATRY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:317-773-7787
Mailing Address - Street 1:325 WESTFIELD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1497
Mailing Address - Country:US
Mailing Address - Phone:317-773-7787
Mailing Address - Fax:317-773-2226
Practice Address - Street 1:325 WESTFIELD RD
Practice Address - Street 2:SUITE B
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1497
Practice Address - Country:US
Practice Address - Phone:317-773-7787
Practice Address - Fax:317-773-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000701A213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty