Provider Demographics
NPI:1508194978
Name:PODIATRY PRACTICE HELPERS
Entity Type:Organization
Organization Name:PODIATRY PRACTICE HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:317-863-2556
Mailing Address - Street 1:PO BOX 330
Mailing Address - Street 2:
Mailing Address - City:FORTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46040-0330
Mailing Address - Country:US
Mailing Address - Phone:317-863-2556
Mailing Address - Fax:317-203-0420
Practice Address - Street 1:330 N WABASH AVE
Practice Address - Street 2:STE 460A
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-2696
Practice Address - Country:US
Practice Address - Phone:765-382-4957
Practice Address - Fax:765-382-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN659635246YC3302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office BasedGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN659635OtherNATIONAL CENTER FOR COMPETENCY TESTING