PREMIUM FOOT CARE LLC NPI 1598001141

NPI Information

NPI: 1598001141
Provider Name: PREMIUM FOOT CARE, LLC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
8819 QUINCY AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 721-3338
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PREMIUM FOOT CARE, LLC is a primary podiatric medicine podiatrist in Cleveland, OH. PREMIUM FOOT CARE, LLC NPI is 1598001141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8819 QUINCY AVE
CLEVELAND, OH
ZIP 44106-445
Phone: (216) 721-3338
Fax: (216) 721-2375

The provider's authorized official is Morris Tyrone Haywood .
The authorized official title is Podiatrist and has the following contact phone number (973) 222-9503.

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

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine		OHIO	Yes

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
1	1316945884	MEDICARE PIN

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

NPI Synchronization or Removal

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