Organization
PODIATRIC MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C MEADE DPM (MANAGING PARTNER)
(219) 874-2939
Entity
Organization
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
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1089370002
DMERC
IN
Enumeration date
03/19/2007
Last updated
06/23/2011
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