Provider Demographics
NPI:1821272097
Name:MICHAEL J HELMS DPM LLC
Entity Type:Organization
Organization Name:MICHAEL J HELMS DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:317-573-4250
Mailing Address - Street 1:9240 N. MERIDIAN ST.
Mailing Address - Street 2:SUITE 260
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1876
Mailing Address - Country:US
Mailing Address - Phone:317-573-4250
Mailing Address - Fax:317-573-4253
Practice Address - Street 1:9240 N. MERIDIAN ST.
Practice Address - Street 2:SUITE 260
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1876
Practice Address - Country:US
Practice Address - Phone:317-573-4250
Practice Address - Fax:317-573-4253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000630332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100069040AMedicaid
INT34547Medicare UPIN
097100Medicare PIN
IN100069040AMedicaid