National Provider Identifier Database

GREGORY W BOAKE, DPM – NPI #1235143512
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

GREGORY W BOAKE, DPM
10122 E 10TH ST STE 230
INDIANAPOLIS, IN46229-2664
Phone: 317-355-7356
Fax:
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for GREGORY W BOAKE

NPI Number 1235143512
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/29/2006
Last updated 02/09/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 070001028A
  • IN Medicaid: 20087023
  • Other: 5324290005 DME AC
  • Other: 5324290004 DME BR
  • Other: 5324290003 DME ES
  • Other: 5324290008 DME FC
  • Other: 5324290006 DME MC
  • Other: 5324290007 DME WV
  • IN Other: 070001028A PODIATRIST LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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