Individual
DR. JAMES C MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6916 W JOHNSON RD, LA PORTE, IN 46350-8247
(219) 874-2939
(219) 874-5922
Mailing address
6916 W JOHNSON RD, LA PORTE, IN 46350-8247
(219) 874-2939
(219) 874-5922
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000785A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148090
—
IN
01
—
1089370001
DMERC
IN
01
—
1089370002
DMERC
IN
01
—
480020342
RAILROAD MEDICARE
IN
01
—
CC4485
RAILROAD MEDICARE
IN
Enumeration date
08/24/2006
Last updated
06/23/2011
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