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BLUFFTON FOOT AND ANKLE NPI 1891017257


NPI Information

NPI: 1891017257
Provider Name: BLUFFTON FOOT AND ANKLE
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 36D0883652

Address:
148 N MAIN ST
BLUFFTON, OH
ZIP 45817
Phone: (419) 358-3050
Get Directions

BLUFFTON FOOT AND ANKLE is a podiatrist in Bluffton, 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. BLUFFTON FOOT AND ANKLE NPI is 1891017257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

148 N MAIN ST
BLUFFTON, OH
ZIP 45817-246
Phone: (419) 358-3050

The provider's authorized official is Daniel W Kirk .
The authorized official title is Dpm and has the following contact phone number (419) 358-3050.

The CLIA number assigned to this NPI record is 36D0883652 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2010 and was last updated on 6/15/2020.


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
1213E00000XPodiatrist36003451OHIOYes

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
13034362MEDICAIDOHIO

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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