OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI# 1114323516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114323516 |
| Entity Type | Organization |
| Organization Name | OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
| Practice Address |
2380 Southeast Blvd Salem OH 44460-3476 |
| Mailing Address |
8175 Market St Youngstown OH 44512-6244 |
| Practice Telephone | 3303378870 |
| Practice Fax Number | 3303376658 |
| Mailing Telephone | 3306298800 |
| Mailing Fax Number | 3307584914 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | LAWRENCE DIDOMENICO (MANAGING PARTNER) |
| Authorized Official Telephone | 3306298800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043617020 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 5925 N. Main St., Suite D, Dayton, OH 45415-3142 | 2014-11-19 |
| 1497152474 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2207 Olympic Ave., Springfield, OH 45503-2725 | 2014-11-19 |
| 1093111080 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1911 N. Fairfiled Rd, Suite 210, Beavercreek, OH 45432-2754 | 2014-11-18 |
| 1003204967 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 7529 State Rd, Suite B, Cincinnati, OH 45255-6409 | 2014-12-30 |
| 1265830566 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1275 Olentangy River Rd, Suite 120, Columbus, OH 43212-3119 | 2014-12-18 |
| 1508264680 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 5757 Monclova Rd, Suite 5, Maumee, OH 43537-1863 | 2014-12-05 |
| 1134526395 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 26151 Euclid Ave, Euclid, OH 44132-3322 | 2014-12-03 |
| 1699172908 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3 Greenville Orthopedic Ctr, Greenville, PA 16125-1210 | 2014-12-02 |
| 1295132793 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3731 Pearl Rd, Cleveland, OH 44109-2750 | 2014-11-26 |
| 1710384516 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 4041 N High St, Ste. 101, Columbus, OH 43214-3247 | 2014-11-24 |
| Street Address |
2380 SOUTHEAST BLVD |
| City | SALEM |
| State | OH |
| Zip Code | 44460-3476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316989775 | Ankle and Foot Care Centers | Podiatrist | 2380 Southeast Blvd, Salem, OH 44460-3476 | 2006-06-11 |
| 1407328347 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2380 Southeast Blvd, Salem, OH 44460-3476 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155257 | Action Physical Therapy and Rehabilitation, Inc | Physical Therapy Assistant | 2311 East State Street, Salem, OH 44460 | 2019-07-16 |
| 1851855563 | Jessica Michelle Adkins | Occupational Therapy Assistant | 100 Blossom Ln, Salem, OH 44460 | 2019-01-27 |
| 1699266981 | Morgan Nicole Shivers | Dentist | 2951 Oh-45, Salem, OH 44460 | 2018-05-23 |
| 1518466580 | Continental II Leasing Co., LLC | Skilled Nursing Facility | 230 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1447759410 | Continental I Leasing Co., LLC | Skilled Nursing Facility | 250 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1912405648 | Ascend Home Health Care LLC | Home Health | 1367 Slater Rd, Salem, OH 44460 | 2018-01-29 |
| 1225562572 | Melissa Sue Chadbourne | Occupational Therapist | 7855 Pleasant Valley Ct, Salem, OH 44460 | 2017-04-13 |
| 1104274489 | Dakota Deamicis | Specialist/Technologist | 7777 W. Middletown Rd, Salem, OH 44460 | 2016-05-27 |
| 1811312028 | Denise Repella | Speech-Language Pathologist | 1171 Hampton Pl, Salem, OH 44460 | 2014-02-25 |
| 1750702338 | Care4me Skilled, LLC | Home Health | 2400 Southeast Blvd., Suite B, Salem, OH 44460 | 2013-12-26 |
| Find all providers in zip 44460 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356497622 | Benedict A Profera | Podiatrist | 1589 Innsbrooke Dr, Salem, VA 24153-1785 | 2007-01-26 |
| 1740379387 | James E Lisle | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2006-10-12 |
| 1124661517 | Trevor Tippets Dpm LLC | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2019-10-18 |
| 1619394061 | Jarod Spencer | Podiatrist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2014-03-24 |
| 1528368883 | James E. Lisle Dpm LLC | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2010-11-02 |
| 1457660904 | Dpmbeckmannnror LLC | Podiatrist | 3760 Market St Ne # 105, Salem, OR 97301-1826 | 2010-10-01 |
| 1073785648 | James E. Lisle | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2008-03-24 |
| 1346435864 | Toni D Chadwick | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023361318 | Lara S Poduska Dpm LLC | Podiatrist | 24816 Aurora Rd Ste A, Bedford Heights, OH 44146-6908 | 2012-10-24 |
| 1598037467 | David L. Beatty Dpm PC | Podiatrist | 125 N Water St, Paulding, OH 45879-1245 | 2012-02-07 |
| 1750677829 | Elizabeth Gero | Podiatrist | 10701 East Blvd # 112bw, Cleveland, OH 44106-1702 | 2011-06-27 |
| 1841433703 | Home Visit Podiatrists, Inc. | Podiatrist | 2010 Wayland Ave, Cincinnati, OH 45212-3708 | 2009-04-08 |
| 1023250248 | Podiatry Home Health Care | Podiatrist | 5683 Pearl Rd, Parma, OH 44129-2528 | 2009-04-02 |
| 1982850525 | Richard A Raabe Dpm Inc | Podiatrist | 128 Wertz Ave Nw Ste A, Canton, OH 44708 | 2008-08-14 |
| 1225214125 | Louis L. Endress Dpm | Podiatrist | 2914 Cleveland Rd, Wooster, OH 44691-1655 | 2008-01-10 |
| 1457533622 | James D. Robinette, Dpm, Inc. | Podiatrist | 5932 Colerain Ave, Cincinnati, OH 45239-6414 | 2007-11-29 |
| 1336352038 | Laser Foot Care Center, Inc | Podiatrist | 2495 Olentangy Dr, Akron, OH 44333-2831 | 2007-05-08 |
| 1932237922 | Thomas Joseph Javorsky | Podiatrist | 1400 S Hubbard Rd, Lowellville, OH 44436-9411 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.