NORTHEAST OHIO FOOT ANKLE AND WOUND CENTER INC NPI 1578602330

NPI Information

NPI: 1578602330
Provider Name: NORTHEAST OHIO FOOT, ANKLE AND WOUND CENTER, INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7264 WARREN SHARON RD
BROOKFIELD, OH
ZIP 44403
Phone: (330) 448-6222
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NORTHEAST OHIO FOOT, ANKLE AND WOUND CENTER, INC is a foot and ankle surgery podiatrist in Brookfield, OH. NORTHEAST OHIO FOOT, ANKLE AND WOUND CENTER, INC NPI is 1578602330. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7264 WARREN SHARON RD
BROOKFIELD, OH
ZIP 44403-691
Phone: (330) 448-6222
Fax: (330) 448-6549

The provider's authorized official is James J Lapolla .
The authorized official title is President and has the following contact phone number (330) 448-6222.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 5/29/2020.

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	SC003389	PENNSYLVANIA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	36.002617	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	2319128	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: 4/28/2024

NPI Synchronization or Removal

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