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MOLLY S JUDGE DPM NPI 1801065545


NPI Information

NPI: 1801065545
Provider Name: MOLLY S JUDGE DPM

Doing Business As: NORTH WEST OHIO FOOT AND ANKLE LLC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
530 WASHINGTON STREET
PORT CLINTON, OH
ZIP 43452
Phone: (419) 732-2618
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MOLLY S JUDGE DPM is a foot and ankle surgery podiatrist in Port Clinton, OH. MOLLY S JUDGE DPM NPI is 1801065545. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North West Ohio Foot And Ankle Llc.

The provider's business location address is:

530 WASHINGTON STREET
PORT CLINTON, OH
ZIP 43452-935
Phone: (419) 732-2618
Fax: (419) 732-1998

The provider's authorized official is Molly S Judge .
The authorized official title is Owner and has the following contact phone number (419) 732-2618.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 10/18/2012.


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 Surgery2877OHIOYes

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
1134887318MEDICAIDMICHIGAN
24855810540OTHERMICHIGANBCBS MI
3480030118MEDICARE PINOHIO
42019774MEDICAIDOHIO
50P39580MEDICARE PINMICHIGAN
64750850001MEDICARE NSCOHIO
70826573MEDICARE PINOHIO
8000000142130OTHEROHIOANTHEMBCBS
90826574MEDICARE 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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