NORTHEAST OHIO FOOT AND WOUND CENTER INC NPI 1811036395

NPI Information

NPI: 1811036395
Provider Name: NORTHEAST OHIO FOOT AND WOUND CENTER INC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
8588 E MARKET ST
WARREN, OH
ZIP 44484
Phone: (330) 856-4444
Get Directions

NORTHEAST OHIO FOOT AND WOUND CENTER INC is a primary podiatric medicine podiatrist in Warren, OH. NORTHEAST OHIO FOOT AND WOUND CENTER INC NPI is 1811036395. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8588 E MARKET ST
WARREN, OH
ZIP 44484-339
Phone: (330) 856-4444
Fax: (330) 856-9033

The provider's authorized official is James J Lapolla .
The authorized official title is President and has the following contact phone number (330) 856-4444.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 9/3/2015.

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	SC003389L	PENNSYLVANIA	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	SC005955	PENNSYLVANIA	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	36.002617	OHIO	No
4	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	Other Provider Identifier Issuer
1	U78081	MEDICARE UPIN	OHIO
2	6197410001	MEDICARE NSC	OHIO
3	0659269	OTHER		MEDICARE IDENTIFICATION NUMBER
4	2308667	MEDICAID	OHIO
5	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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