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VERMILION FOOT & ANKLE CLINIC L.L.C. NPI 1578742060


NPI Information

NPI: 1578742060
Provider Name: VERMILION FOOT & ANKLE CLINIC, L.L.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
516 VINTAGE PT
AVON LAKE, OH
ZIP 44012
Phone: (440) 930-2503
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VERMILION FOOT & ANKLE CLINIC, L.L.C. 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. VERMILION FOOT & ANKLE CLINIC, L.L.C. NPI is 1578742060. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

516 VINTAGE PT
AVON LAKE, OH
ZIP 44012-109
Phone: (440) 930-2503
Fax: (440) 930-4340

The provider's authorized official is Paul Gentile .
The authorized official title is Office Manager and has the following contact phone number (440) 967-1899.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 3/8/2023.


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
1213E00000XPodiatrist36003147OHIOYes

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
12816199MEDICAIDOHIO

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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