ANKLE & FOOT CLINIC INC. NPI 1063599033

NPI Information

NPI: 1063599033
Provider Name: ANKLE & FOOT CLINIC, INC.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4789 LEAVITT RD
SUITE B
LORAIN, OH
ZIP 44053
Phone: (440) 246-1200
Get Directions

ANKLE & FOOT CLINIC, INC. is a foot and ankle surgery podiatrist in Lorain, OH. ANKLE & FOOT CLINIC, INC. NPI is 1063599033. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4789 LEAVITT RD
SUITE B
LORAIN, OH
ZIP 44053-136
Phone: (440) 246-1200
Fax: (440) 246-2275

The provider's authorized official is Robert J. White .
The authorized official title is President and has the following contact phone number (440) 246-1200.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/23/2014.

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	36003106	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	U74952	MEDICARE UPIN
2	2865118	MEDICAID	OHIO
3	4552350001	MEDICARE NSC	OHIO
4	=========027	OTHER	OHIO	CARESOURCE
5	270646406	OTHER	OHIO	EMERALD HEALTH
6	000000230200	OTHER	OHIO	ANTHEM BC/BS
7	270646406	OTHER	OHIO	OHIO HEALTH CHOICE
8	=========00	OTHER	OHIO	BWC
9	DN6482	OTHER	OHIO	RAILROAD MEDICARE
10	21203	OTHER	OHIO	QUALCHOICE
11	04374	OTHER	OHIO	KAISER PERM.
12	270646406004	OTHER	OHIO	MEDICAL MUTUAL
13	7361316	OTHER	OHIO	AETNA
14	9325781	MEDICARE PIN	OHIO
15	E03106	OTHER	OHIO	SUMMA

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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