Provider Demographics
NPI:1437692027
Name:FEET FIRST PODIATRY, LLC
Entity Type:Organization
Organization Name:FEET FIRST PODIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:EISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:317-578-2080
Mailing Address - Street 1:10059 GLENHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9358
Mailing Address - Country:US
Mailing Address - Phone:317-578-2080
Mailing Address - Fax:
Practice Address - Street 1:10059 GLENHAVEN CT
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9358
Practice Address - Country:US
Practice Address - Phone:317-578-2080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07001007A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INV06990Medicare PIN