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NORTH SHORE PODIATRY INC NPI 1245357771


NPI Information

NPI: 1245357771
Provider Name: NORTH SHORE PODIATRY INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
515 MOORE RD
SUITE 3
AVON LAKE, OH
ZIP 44012
Phone: (440) 930-8637
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NORTH SHORE PODIATRY INC is a podiatrist in Avon Lake, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NORTH SHORE PODIATRY INC NPI is 1245357771. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

515 MOORE RD
SUITE 3
AVON LAKE, OH
ZIP 44012-366
Phone: (440) 930-8637

The provider's authorized official is Paul Shearer .
The authorized official title is Podiatrist Owner and has the following contact phone number (440) 930-8637.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 11/12/2008.


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
1213E00000XPodiatrist36003128OHIOYes

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
1DD8373OTHEROHIORAILROAD MEDICARE
29345352MEDICARE PINOHIO
32278306MEDICAIDOHIO
49345351MEDICARE PINOHIO
52853309MEDICAIDOHIO
65233620001MEDICARE NSCOHIO

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

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