PRESTIGE FOOT & ANKLE CENTER LLC NPI 1700145372

NPI Information

NPI: 1700145372
Provider Name: PRESTIGE FOOT & ANKLE CENTER LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
784 MEDINA RD
STE # 107
MEDINA, OH
ZIP 44256
Phone: (234) 248-4237
Get Directions

PRESTIGE FOOT & ANKLE CENTER LLC is a foot and ankle surgery podiatrist in Medina, OH. PRESTIGE FOOT & ANKLE CENTER LLC NPI is 1700145372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

784 MEDINA RD
STE # 107
MEDINA, OH
ZIP 44256-634
Phone: (234) 248-4237
Fax: (330) 723-2188

The provider's authorized official is Machelle Gordon .
The authorized official title is Credentialing Specialist and has the following contact phone number (330) 723-2111.

The enumeration date for this NPI number is 5/16/2012 and was last updated on 5/16/2012.

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	36003592	OHIO	Yes

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

NPI Synchronization or Removal

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