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ELYRIA FOOT CLINIC INC. NPI 1407836448


NPI Information

NPI: 1407836448
Provider Name: ELYRIA FOOT CLINIC INC.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1170 E BROAD ST
SUITE 104
ELYRIA, OH
ZIP 44035
Phone: (440) 366-6029
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ELYRIA FOOT CLINIC INC. is a foot and ankle surgery podiatrist in Elyria, OH. ELYRIA FOOT CLINIC INC. NPI is 1407836448. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1170 E BROAD ST
SUITE 104
ELYRIA, OH
ZIP 44035-351
Phone: (440) 366-6029
Fax: (440) 366-6064

The provider's authorized official is George Costaras .
The authorized official title is President and has the following contact phone number (440) 366-6029.

The enumeration date for this NPI number is 1/17/2006 and was last updated on 5/11/2010.


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
10966970001MEDICARE NSCOHIO
2EL9267331MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDICARE ID NUMBER

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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