FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC (NPI# 1336705623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336705623 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC |
| Practice Address |
1920 Tamarack Rd Newark OH 43055-2303 |
| Mailing Address |
426 Beecher Rd Suite A Gahanna OH 43230-1797 |
| Practice Telephone | 7403448286 |
| Practice Fax Number | 7405220094 |
| Mailing Telephone | 7403448286 |
| Mailing Fax Number | 6149399299 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | COLLEEN R GRIFFITH (PRACTICE MANAGER) |
| Authorized Official Telephone | 7403448286 |
| Authorized Official Credential | CMOM-POD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3084362 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891351185 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 1 Healthy Place, Suite 202, Pataskala, OH 43062-7067 | 2019-05-13 |
| 1376109660 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 65 E Granville St, Sunbury, OH 43074-9130 | 2019-05-13 |
| Street Address |
1920 TAMARACK RD |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992740088 | Brad Timothy Pfau | Pediatrics | 1920 Tamarack Rd, Newark, OH 43055-2303 | 2006-06-20 |
| 1285052878 | Cherreen Tawancy | Podiatrist | 1920 Tamarack Rd, Newark, OH 43055 | 2014-04-01 |
| 1265799217 | Amanda Leigh Quisno | Podiatrist | 1920 Tamarack Rd, Newark, OH 43055-2303 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| 1114284106 | Jennifer R Seifert | Podiatrist | 4745 Ogletown Stanton Rd Ste 225, Newark, DE 19713-1387 | 2012-04-16 |
| 1962728675 | Kbf Foot & Ankle Surgeons, Pa | Podiatrist | 254 Walnut St, Newark, NJ 07105-1717 | 2010-04-20 |
| 1710165170 | Foot & Ankle Specialists Of | Podiatrist | 1950 Tamarack Rd, Newark, OH 43055-1363 | 2008-02-07 |
| 1902937568 | John Zatourian | Podiatrist | 389 Sanford Ave, Newark, NJ 07106-1149 | 2007-03-08 |
| 1750420899 | Carrie Z. O'neill | Podiatrist | 165 W Shore Blvd, Newark, NY 14513-1259 | 2007-02-05 |
| 1710057468 | James C Totten | Podiatrist | 40 Ferry Street, Newark, NJ 07105 | 2006-11-09 |
| 1568557890 | William Scott Newcomb | Podiatrist | 4051 Ogletown Rd Ste 102, Newark, DE 19713-3101 | 2006-10-03 |
| 1679689764 | Javier Ricardo Ponce | Podiatrist | 654 Mount Prospect Ave Ste 301, Newark, NJ 07104-3110 | 2006-08-22 |
| 1689617961 | Anthony H Mascioli | Podiatrist | 918 N Main St, Newark, NY 14513-1030 | 2006-06-14 |
| Find all providers in NEWARK | ||||
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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.