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ANGELO F. PETROLLA DPM NPI 1154591675


NPI Information

NPI: 1154591675
Provider Name: ANGELO F. PETROLLA DPM
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3507 CANFIELD RD
SUITE 7
YOUNGSTOWN, OH
ZIP 44511
Phone: (330) 793-0566
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ANGELO F. PETROLLA DPM is a podiatrist in Youngstown, OH. The provider is 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. ANGELO F. PETROLLA DPM NPI is 1154591675. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3507 CANFIELD RD
SUITE 7
YOUNGSTOWN, OH
ZIP 44511-859
Phone: (330) 793-0566
Fax: (330) 793-5767

The provider's authorized official is Joanne Schulick .
The authorized official title is Office Manager and has the following contact phone number (330) 793-0566.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 11/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist36.001767OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10333697MEDICAIDOHIO
2PE0437961MEDICARE PIN
30499840001MEDICARE NSC
40499840003MEDICARE NSCOHIO
5T80442MEDICARE UPIN
60499840002MEDICARE NSCOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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