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OREGON FAMILY FOOT AND ANKLE LLC NPI 1235374687


NPI Information

NPI: 1235374687
Provider Name: OREGON FAMILY FOOT AND ANKLE, LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1050 ISAAC STREETS DR STE 122
OREGON, OH
ZIP 43616
Phone: (419) 693-4171
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OREGON FAMILY FOOT AND ANKLE, LLC is a foot and ankle surgery podiatrist in Oregon, OH. OREGON FAMILY FOOT AND ANKLE, LLC NPI is 1235374687. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1050 ISAAC STREETS DR STE 122
OREGON, OH
ZIP 43616-243
Phone: (419) 693-4171
Fax: (419) 693-6863

The provider's authorized official is Michael D. Cragel .
The authorized official title is General Partner and has the following contact phone number (419) 693-4171.

The enumeration date for this NPI number is 12/12/2008 and was last updated on 6/7/2012.


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
1213ES0103XPodiatristFoot & Ankle Surgery2026OHIONo
2213ES0103XPodiatristFoot & Ankle Surgery36003491OHIOYes

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
1T80537MEDICARE UPIN
2FE4248891MEDICARE UPINOHIO
30497752MEDICAIDOHIO
42861390MEDICAIDOHIO
5V02007MEDICARE UPINOHIO
66190570001MEDICARE NSCOHIO
79379811MEDICARE PINOHIO

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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