MIDDLEBURG HEIGHTS PODIATRY LTD NPI 1104921287

NPI Information

NPI: 1104921287
Provider Name: MIDDLEBURG HEIGHTS PODIATRY LTD
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
18660 BAGLEY RD
SUITE 301
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (440) 243-1473
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MIDDLEBURG HEIGHTS PODIATRY LTD is a primary podiatric medicine podiatrist in Middleburg Heights, OH. MIDDLEBURG HEIGHTS PODIATRY LTD NPI is 1104921287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18660 BAGLEY RD
SUITE 301
MIDDLEBURG HEIGHTS, OH
ZIP 44130-483
Phone: (440) 243-1473
Fax: (440) 243-1476

The provider's authorized official is Robin Brown .
The authorized official title is Access Manager and has the following contact phone number (440) 238-8843.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 6/7/2021.

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	2794712	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: 11/14/2023

NPI Synchronization or Removal

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