HEATHER ANNETTE PETROLLA DPM NPI 1740272897

NPI Information

NPI: 1740272897
Provider Name: HEATHER ANNETTE PETROLLA, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
924 YOUNGSTOWN POLAND RD
STRUTHERS, OH
ZIP 44471
Phone: (330) 707-1360
Get Directions

Heather Annette Petrolla, DPM is a podiatrist in Struthers, 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. Heather Annette Petrolla, DPM NPI is 1740272897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

924 YOUNGSTOWN POLAND RD
STRUTHERS, OH
ZIP 44471-305
Phone: (330) 707-1360
Fax: (330) 707-1359

The enumeration date for this NPI number is 8/16/2005 and was last updated on 3/6/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		36 00 1865 P	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	27 00411	OTHER		UNITED HEALTHCARE
2	PE0461533	MEDICARE PIN	OHIO
3	PE0461531	MEDICARE PIN	OHIO
4	000000134627	OTHER		ANTHEM BLUE CROSS BLUE SH
5	341581408011	OTHER		MEDICAL MUTUAL
6	000000134628	OTHER		ANTHEM BLUE CROSS BLUE SH
7	341581408009	OTHER		MEDICAL MUTUAL
8	341581408 02	OTHER		OHIO BUREAU OF WORTHERS C
9	T80467	MEDICARE UPIN
10	341581408 01	OTHER		OHIO BUREAU OF WORTHERS C
11	000000134629	OTHER		ANTHEM BLUE CROSS BLUE SH
12	27 00142	OTHER		UNITED HEALTHCARE
13	0500720001	MEDICARE NSC	OHIO
14	PE0461534	MEDICARE PIN	OHIO
15	0500720002	MEDICARE NSC	OHIO
16	0409543	MEDICAID	OHIO
17	0500720003	MEDICARE NSC	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »