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MEMPHIS FOOT SPECIALISTS INC NPI 1811178965


NPI Information

NPI: 1811178965
Provider Name: MEMPHIS FOOT SPECIALISTS INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
6779 MEMPHIS AVE STE 4
BROOKLYN, OH
ZIP 44144
Phone: (216) 351-3668
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MEMPHIS FOOT SPECIALISTS INC is a podiatrist in Brooklyn, 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. MEMPHIS FOOT SPECIALISTS INC NPI is 1811178965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6779 MEMPHIS AVE STE 4
BROOKLYN, OH
ZIP 44144-203
Phone: (216) 351-3668
Fax: (216) 883-8552

The provider's authorized official is Paul Stanley Lieberman .
The authorized official title is President and has the following contact phone number (216) 351-3668.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 4/18/2013.


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
1213E00000XPodiatrist2094OHIOYes

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
1T80533MEDICARE UPINOHIO
21199800001MEDICARE 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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