PODIATRY ASSOCIATES OF CINCINNATI INC NPI 1629162417

NPI Information

NPI: 1629162417
Provider Name: PODIATRY ASSOCIATES OF CINCINNATI INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 36D0893366

Address:
4357 FERGUSON DR STE 150
CINCINNATI, OH
ZIP 45245
Phone: (513) 474-4450
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PODIATRY ASSOCIATES OF CINCINNATI INC is a foot and ankle surgery podiatrist in Cincinnati, OH. PODIATRY ASSOCIATES OF CINCINNATI INC NPI is 1629162417. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4357 FERGUSON DR STE 150
CINCINNATI, OH
ZIP 45245-760
Phone: (513) 474-4450
Fax: (513) 474-6387

The provider's authorized official is Dawn Grinspan .
The authorized official title is Practice Manager and has the following contact phone number (513) 474-4450.

The CLIA number assigned to this NPI record is 36D0893366 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/11/2020.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery			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	2364749	MEDICAID	OHIO
2	000000251377	OTHER	OHIO	ANTHEM
3	CK5052	OTHER		RAILROAD MEDICARE

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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