NPI 1013270800
South Shore Foot and Ankle INC
Practice location
- Address
- 1101 Glendale Blvd STE 101, Valparaiso, IN 46383-3769
- Phone
- (219) 464-4100
- Fax
- (219) 464-4114
- Mailing address
- 27 Aspen Rd, Portage, IN 46368-1027
Authorised official
- Name
- Cynthia Grundy
- Title
- Owner
- Phone
- (219) 464-4100
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1013270800
- Entity type
- Organization
- NPI issued
- 18 Jun 2012
- Record last updated
- 29 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.