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KSU FOOT & ANKLE CLINIC NPI 1265793111


NPI Information

NPI: 1265793111
Provider Name: KSU FOOT & ANKLE CLINIC

Doing Business As: CLEVELAND FOOT & ANKLE CLINIC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
6000 ROCKSIDE WOODS BLVD N
INDEPENDENCE, OH
ZIP 44131
Phone: (216) 916-7369
Get Directions

KSU FOOT & ANKLE CLINIC is a podiatrist in Independence, 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. KSU FOOT & ANKLE CLINIC NPI is 1265793111. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cleveland Foot & Ankle Clinic.

The provider's business location address is:

6000 ROCKSIDE WOODS BLVD N
INDEPENDENCE, OH
ZIP 44131-330
Phone: (216) 916-7369
Fax: (216) 916-7369

The provider's authorized official is Charles Greene .
The authorized official title is Director and has the following contact phone number (330) 672-2982.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 10/10/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16703950002MEDICARE NSC
2H117480MEDICARE 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: 5/5/2024

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