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RICK PIDALA NPI 1629256862


NPI Information

NPI: 1629256862
Provider Name: RICK PIDALA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
890 BROADWAY AVE
BEDFORD, OH
ZIP 44146
Phone: (440) 439-8282
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RICK PIDALA is a podiatrist in Bedford, 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. RICK PIDALA NPI is 1629256862. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

890 BROADWAY AVE
BEDFORD, OH
ZIP 44146-612
Phone: (440) 439-8282
Fax: (440) 439-7863

The provider's authorized official is Rick Patrick Pidala .
The authorized official title is Owner and has the following contact phone number (440) 439-8282.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/8/2008.


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
1213E00000XPodiatrist36.001964OHIOYes

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
10444586MEDICAIDOHIO
2T80500MEDICARE UPINOHIO
3PI0486491MEDICARE PIN
40487410001MEDICARE 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: 4/28/2024

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