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PERFORMANCE PODIATRY INC. NPI 1376829739


NPI Information

NPI: 1376829739
Provider Name: PERFORMANCE PODIATRY, INC.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6350 GLENWAY AVE
SUITE 301
CINCINNATI, OH
ZIP 45211
Phone: (513) 563-6228
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PERFORMANCE PODIATRY, INC. is a foot and ankle surgery podiatrist in Cincinnati, OH. PERFORMANCE PODIATRY, INC. NPI is 1376829739. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6350 GLENWAY AVE
SUITE 301
CINCINNATI, OH
ZIP 45211-378
Phone: (513) 563-6228
Fax: (513) 577-7261

The provider's authorized official is Rodney W Roof .
The authorized official title is President and has the following contact phone number (513) 563-6228.

The enumeration date for this NPI number is 10/31/2011 and was last updated on 10/31/2011.


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 Surgery36003134OHIOYes

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
13075872MEDICAIDOHIO

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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