PODIATRY HOME HEALTH CARE NPI 1023250248

NPI Information

NPI: 1023250248
Provider Name: PODIATRY HOME HEALTH CARE

Other Name: BARBARA L. PETKOVIC DPM

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
5683 PEARL RD
PARMA, OH
ZIP 44129
Phone: (440) 885-2130
Get Directions

PODIATRY HOME HEALTH CARE is a primary podiatric medicine podiatrist in Parma, OH. PODIATRY HOME HEALTH CARE NPI is 1023250248. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Barbara L. Petkovic Dpm.

The provider's business location address is:

5683 PEARL RD
PARMA, OH
ZIP 44129-528
Phone: (440) 885-2130
Fax: (440) 848-8406

The provider's authorized official is Barbara Lynn Petkovic .
The authorized official title is Podiatrist and has the following contact phone number (440) 885-2130.

The enumeration date for this NPI number is 4/2/2009 and was last updated on 5/19/2009.

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	36003284	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
1	WE4071941	MEDICARE OSCAR/CERTIFICATION	OHIO
2	6213680001	MEDICARE NSC	OHIO
3	U89457	MEDICARE UPIN	OHIO
4	2323444	MEDICAID	OHIO

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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