Mr. Walter Douglas Kolmodin is a Granger, Indiana based male podiatrist with 26 years of experience in Podiatry. He completed his graduation from College Of Podiatric Med And Surgery, Des Moines University in 1998. He is also affiliated with hospitals like Saint Joseph Regional Medical Center and Unity Medical And Surgical Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Walter Douglas Kolmodin for Podiatry is 07000902A in Indiana. Mr. Walter Douglas Kolmodin is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Walter Douglas Kolmodin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
26+ years
Medical School Attended:
College Of Podiatric Med And Surgery, Des Moines University
Graduation Year:
1998
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
14950 State Road 23, Granger, Indiana, 46530-7564
Phone:
574-259-9668
Fax:
574-259-9671
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4082680186
Enrollment ID:
I20040909000810
NPI Number:
1265427645
NPI Enumeration Date:
13 Sep, 2005
NPI Last Update On:
10 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Walter Douglas Kolmodin are as mentioned below.
License Number
Specialization
State
Status
07000902A
Podiatry
Indiana
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Saint Joseph Regional Medical Center (150012)
Mishawaka, IN
Acute Care Hospital
Unity Medical And Surgical Hospital (150177)
Mishawaka, IN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Walter Douglas Kolmodin is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
The South Bend Clinic Llc (3779577937)
168
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Walter Douglas Kolmodin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000262667
Other
Indiana
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
14950 State Road 23, Granger, Indiana
Zip:
46530-7564
Phone Number:
574-259-9668
Fax Number:
574-259-9671
Patients can reach Mr. Walter Douglas Kolmodin at 14950 State Road 23, Granger, Indiana or can call to book an appointment on 574-259-9668. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Similar Podiatrist in Granger, IN
Jonathan H. Abiera Ii, DPM 9+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 6913 N Main St Ste 300, IN Phone: 574-647-1500 Fax: 574-647-2567