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PODIATRY ASSOC OF THE OHIO COLLEGE OF PODIATRIC MEDICINE NPI 1255402442


NPI Information

NPI: 1255402442
Provider Name: PODIATRY ASSOC OF THE OHIO COLLEGE OF PODIATRIC MEDICINE

Doing Business As: BEACHWOOD FOOT & ANKLE CENTER

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3609 PARK EAST DR
NORTH 406
BEACHWOOD, OH
ZIP 44122
Phone: (216) 591-1311
Get Directions

PODIATRY ASSOC OF THE OHIO COLLEGE OF PODIATRIC MEDICINE is a foot and ankle surgery podiatrist in Beachwood, OH. PODIATRY ASSOC OF THE OHIO COLLEGE OF PODIATRIC MEDICINE NPI is 1255402442. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Beachwood Foot & Ankle Center.

The provider's business location address is:

3609 PARK EAST DR
NORTH 406
BEACHWOOD, OH
ZIP 44122-331
Phone: (216) 591-1311

The provider's authorized official is Matthew Demore .
The authorized official title is Office Manager and has the following contact phone number (216) 591-1311.

The enumeration date for this NPI number is 11/11/2006 and was last updated on 1/21/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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
19247011MEDICARE PINOHIO
21131510004MEDICARE NSCOHIO
30851823MEDICAIDOHIO

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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