NORTHEAST OHIO FOOT & ANKLE INC NPI 1689713448

NPI Information

NPI: 1689713448
Provider Name: NORTHEAST OHIO FOOT & ANKLE INC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
892 W LIBERTY ST
HUBBARD, OH
ZIP 44425
Phone: (330) 534-5106
Get Directions

NORTHEAST OHIO FOOT & ANKLE INC is a primary podiatric medicine podiatrist in Hubbard, OH. NORTHEAST OHIO FOOT & ANKLE INC NPI is 1689713448. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

892 W LIBERTY ST
HUBBARD, OH
ZIP 44425-753
Phone: (330) 534-5106

The provider's authorized official is Robert J Shellito .
The authorized official title is Vice President and has the following contact phone number (330) 534-5106.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 12/6/2007.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	SC005955	PENNSYLVANIA	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	36.003129	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
1	2319093	MEDICAID	OHIO
2	9321854	MEDICARE ID-TYPE UNSPECIFIED
3	U12891	MEDICARE UPIN	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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