Organization
BEECH GROVE FOOT CARE INC
Active
Parent organization
INDY SOUTH FOOT & ANKLE
Other names
Indy South foot AndAnkle
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDY SOUTH FOOT & ANKLE
Authorized official
JEFFREY S STEVENS D.P.M. (DOCTOR)
(317) 300-0106
Entity
Organization
Contact information
Practice address
7855 S. EMERSON AVE, SUITE T, INDIANAPOLIS, IN 46237
(317) 300-0106
(317) 497-8383
Mailing address
7855 S EMERSON AVE, SUITE T, INDIANAPOLIS, IN 46237-8668
(317) 300-0106
(317) 497-8383
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000694A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87821
BCBS/ANTHEM PROV #
IN
01
—
CB3164
MEDICARE RAILROAD
IN
Enumeration date
06/11/2007
Last updated
03/15/2021
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