PODIATRY ASSOC OF THE OHIO COLLEGE OF PODIATRIC MEDICINE (NPI# 1255402442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255402442 |
| Entity Type | Organization |
| Organization Name | PODIATRY ASSOC OF THE OHIO COLLEGE OF PODIATRIC MEDICINE |
| Other Organization Name | BEACHWOOD FOOT & ANKLE CENTER |
| Practice Address |
3609 Park East Dr North 406 Beachwood OH 44122-4331 |
| Mailing Address |
Po Box 72350 Cleveland OH 44192-0002 |
| Practice Telephone | 2165911311 |
| Mailing Telephone | 2165911311 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | DR. MATTHEW DEMORE III (OFFICE MANAGER) |
| Authorized Official Telephone | 2165911311 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0851823 | 05 |
| Other Name | Type Code |
|---|---|
| Beachwood Foot & Ankle Center | Doing Business As Name - Organization |
| Street Address |
3609 PARK EAST DR NORTH 406 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550028 | Tonya S. Heyman | Specialist | 3609 Park East Dr, Ste 210n, Beachwood, OH 44122-4309 | 2005-06-28 |
| 1023471059 | Cleveland Center for Comprehensive Dentistry | Dentist | 3609 Park East Dr, Suite 404, Beachwood, OH 44122-4331 | 2016-03-29 |
| 1760886154 | Margaret Lakin | Nurse Practitioner | 3609 Park East Dr, Suite 206, Beachwood, OH 44122-4331 | 2014-10-15 |
| 1043547680 | Thomas Anthony Difranco | Psychologist | 3609 Park East Dr, Suite 518,north, Beachwood, OH 44122-4331 | 2009-11-03 |
| 1972734481 | Spectrum Diagnostic Imaging of Ohio LLC | Radiology | 3609 Park East Dr, Suite 101, Beachwood, OH 44122-4331 | 2009-07-31 |
| 1346496585 | Regional Diagnostics, LLC | Radiology | 3609 Park East Dr, Suite 101, Beachwood, OH 44122-4331 | 2008-08-07 |
| 1548435464 | Shanail Renee Lampkin | Internal Medicine | 3609 Park East Dr, Beachwood, OH 44122-4331 | 2008-04-23 |
| 1871774976 | Nora Elizabeth Colburn | Internal Medicine | 3609 Park East Dr, Suite 207, Beachwood, OH 44122-4331 | 2007-11-16 |
| 1699964759 | Western Reserve Periodontics, Inc | Dentist | 3609 Park East Dr, #411, Beachwood, OH 44122-4331 | 2007-10-15 |
| 1336360171 | Drs. Esposito, Ostrowski, & Whitmyer, LLC | Dentist | 3609 Park East Dr, Suite 501 North, Beachwood, OH 44122-4331 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437568490 | Christopher Tulodzieski | Podiatrist | 3733 Park East Dr Ste 240, Beachwood, OH 44122-4337 | 2014-08-04 |
| 1982879680 | Andrew J. Diller | Podiatrist | 3733 Park East Dr., Suite 240, Beachwood, OH 44122-4337 | 2008-04-24 |
| 1538261722 | Scott B Lindsay | Podiatrist | 2000 Auburn Dr Ste 200, Beachwood, OH 44122-4328 | 2006-09-01 |
| 1831495373 | Wound Care Consultants LLC | Podiatrist | 23250 Chagrin Blvd Ste 150, Beachwood, OH 44122-5417 | 2011-02-01 |
| 1831367358 | Michael E Singerman Dpm | Podiatrist | 24755 Chagrin Blvd, Suite 135, Beachwood, OH 44122-5682 | 2008-02-19 |
| 1730121674 | Michael E Singerman | Podiatrist | 24755 Chagrin Blvd, Suite 135, Beachwood, OH 44122-5682 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1063047942 | Jennifer C. Swan, Dpm, LLC | Podiatrist | 155 Commerce Park Dr Ste 7, Westerville, OH 43082-8384 | 2020-03-11 |
| 1518599117 | Howard Waxman | Podiatrist | 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094-9019 | 2020-02-11 |
| 1346887510 | Performance Foot and Ankle, LLC | Podiatrist | 3727 Friendsville Rd Unit 2, Wooster, OH 44691-7127 | 2019-12-05 |
| 1053971200 | Lauren Digregorio Dpm | Podiatrist | 1502 Lear Industrial Pkwy Ste 1a, Avon, OH 44011-1380 | 2019-06-19 |
| 1477117331 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 4200 Warrensville Center Road, Suite 271, Warrensville Heights, OH 44122-6805 | 2019-04-26 |
| 1336611672 | Anthony G Polito Dpm Inc | Podiatrist | 4071 N Jefferson St, Medina, OH 44256-5622 | 2018-12-27 |
| 1023547957 | Phuoc Bui | Podiatrist | 4260 Glendale Mildford Rd. Ste 103, Blue Ash, OH 45242 | 2017-06-05 |
| 1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
| 1174058630 | Lance Jon Johnson | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-04-21 |
| 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.