Provider Demographics
NPI:1205298213
Name:WINDSOR, NATHAN SCOTT (DPM)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:SCOTT
Last Name:WINDSOR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9409 SOUTHMOOR AVE APT 21
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2484
Mailing Address - Country:US
Mailing Address - Phone:219-405-4735
Mailing Address - Fax:
Practice Address - Street 1:9409 SOUTHMOOR AVE APT 21
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2484
Practice Address - Country:US
Practice Address - Phone:219-405-4735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO61665595213E00000X
IN07001311A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist