Organization
BAKER FOOT SOLUTIONS CORP
Active
Other names
NorthWest Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BAKER D.P.M. (PRESIDENT/DIRECTOR)
(317) 863-2556
Entity
Organization
Contact information
Practice address
6021 W 71ST ST, SUITE A, INDIANAPOLIS, IN 46278-1705
(317) 920-3240
(317) 920-3243
Mailing address
PO BOX 330, FORTVILLE, IN 46040-0330
(317) 863-2556
(317) 203-0420
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000796A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360213
BLUE CROSS
IN
05
—
200513150E
—
IN
01
—
223300
MEDICARE GROUP NUMBER
IN
01
—
DD2888
RR MEDICARE
IN
Enumeration date
07/05/2006
Last updated
03/31/2017
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