Provider Demographics
NPI:1427899822
Name:ARCH ADVANTAGE FOOT AND ANKLE CENTER
Entity type:Organization
Organization Name:ARCH ADVANTAGE FOOT AND ANKLE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:OLUWATOYIN
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:770-403-6094
Mailing Address - Street 1:4617 BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-3472
Mailing Address - Country:US
Mailing Address - Phone:770-403-4064
Mailing Address - Fax:
Practice Address - Street 1:5905 S EMERSON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-2402
Practice Address - Country:US
Practice Address - Phone:770-784-7039
Practice Address - Fax:317-786-3077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty