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West Sycamore Podiatry, INC

Podiatrist, Foot & Ankle Surgery in Kokomo, IN. Organization (NPI-2).

NPI number1720173149
StatusActive
Last updated in NPPESDec 3, 2007

Details

NPI
1720173149
Entity type
Organization (NPI-2)
Legal business name
West Sycamore Podiatry, INC
Organization subpart
No
Enumeration date
Oct 3, 2006
Last updated
Dec 3, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery––Yes

Other names

  • Advanced Foot & Ankle Clinic (Doing Business As)

Practice location

3611 S Reed Rd
Suite 104
Kokomo, IN 46902-3828

Phone 765-453-5892 · Fax 765-453-8262

Mailing address

3611 S Reed Rd
Suite 104
Kokomo, IN 46902-3828

Phone 765-453-5892 · Fax 765-453-8262

Authorized official

Stephanie Lynn Lewis
Office Manager
7654535892

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Foot & Ankle Surgery Podiatrist providers in Kokomo, IN

All 9 Foot & Ankle Surgery Podiatrist providers in Kokomo · All 2,349 providers in Kokomo

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