| South Shore Foot And Ankle Inc | |
|
1101 Glendale Blvd Ste 101, Valparaiso, IN 46383-3769 | |
| (219) 464-4100 | |
| (219) 464-4114 |
| Full Name | South Shore Foot And Ankle Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1101 Glendale Blvd Ste 101, Valparaiso, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013270800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 07000941A (Indiana) | Primary |
| Provider Name | Cynthia Lembcke Grundy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508865098 PECOS PAC ID: 8426063884 Enrollment ID: I20060207000648 |
| Provider Name | Dominik Cornelius Meyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932548500 PECOS PAC ID: 5991004111 Enrollment ID: I20181012001619 |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Foot And Ankle Inc 27 Aspen Rd, Portage, IN 46368-1027 Ph: (219) 464-4100 | South Shore Foot And Ankle Inc 1101 Glendale Blvd Ste 101, Valparaiso, IN 46383-3769 Ph: (219) 464-4100 |
Roman Podiatry Partners Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 2308 N. Roosevelt, Valparaiso, IN 46383 Phone: 219-464-9588 Fax: 219-462-4470 | |
Mobile Physicians Group Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2308 Roosevelt Rd, Valparaiso, IN 46383 Phone: 219-464-9588 Fax: 219-462-4470 | |
Timothy Alan Fitzgerald, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1101 Cumberland Xing # 262, Valparaiso, IN 46383 Phone: 219-299-4643 Fax: 219-267-1720 | |
Emroc Podiatric, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2 Spectacle Dr, Valparaiso, IN 46383 Phone: 219-840-0345 Fax: 219-728-4407 | |
Dr. Mann Spitler Iii, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3104 Churchview Dr, Valparaiso, IN 46383 Phone: 219-464-9221 | |
Paul G Sommer Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1610 Pointe Dr, Valparaiso, IN 46383 Phone: 219-477-3668 Fax: 219-531-1520 |