Golden Care Podiatry

LBN: Golden Care Podiatry
Golden Care Podiatry is an health care organization with primary practice located at 4725 Statesmen Dr Suite A, Indianapolis IN 46250-5645. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Golden Care Podiatry can be contacted via phone (317) 713-1100, or through Krueger, Kenneth via phone (317) 713-1111.

Contact Information

Primary practice address
4725 Statesmen Dr Suite A Indianapolis IN 46250-5645
Phone: (317) 713-1100
Fax: (317) 713-1100
Website:
Map and Directions
Authorized official contact:
Name: Krueger, Kenneth Doctor of Podiatric Medicine (DPM)
Phone: (317) 713-1111

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1679768642
LBN Legal business name Golden Care Podiatry
DBA Doing business as
Authorized official Krueger, Kenneth Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2007
Last updated Jul 2nd, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679768642 NPPES
Indiana MEDICAID 100239180
Indiana Other 000000344455

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