BEAVERCREEK FOOT & ANKLE SPECIALISTS, LLC (NPI# 1366641078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366641078 |
| Entity Type | Organization |
| Organization Name | BEAVERCREEK FOOT & ANKLE SPECIALISTS, LLC |
| Practice Address |
3121 Evelyn Dr Ste 120 Beavercreek OH 45434-4309 |
| Practice Telephone | 9374271175 |
| Practice Fax Number | 9374279494 |
| Mailing Telephone | 9374271175 |
| Mailing Fax Number | 9374279494 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | KEVIN RAYMOND SCHROEDER (OWNER) |
| Authorized Official Telephone | 9374271175 |
| Authorized Official Credential | D.P.M. |
| 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 |
| Street Address |
3121 EVELYN DR STE 120 |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45434-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336104116 | Peter A. Ramirez, M.d. & Associates LLC | Psychiatry & Neurology | 3121 Evelyn Dr, Suite 110, Beavercreek, OH 45434-4309 | 2006-04-17 |
| 1386080703 | Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | 3121 Evelyn Dr, Suite 120, Beavercreek, OH 45434-4309 | 2013-05-13 |
| 1356518005 | Associated Foot and Ankle Specialists, LLC | Podiatrist | 3121 Evelyn Dr, Suite 120, Beavercreek, OH 45434-4309 | 2008-05-12 |
| 1407954506 | William Carl Lavanche | Counselor | 3121 Evelyn Dr, Suite 110, Beavercreek, OH 45434-6382 | 2006-09-20 |
| 1598789398 | Karen Joann Borchers | Clinical Nurse Specialist | 3121 Evelyn Dr, Suite 110, Beavercreek, OH 45434-6382 | 2006-07-26 |
| 1912950171 | Kevin R. Schroeder, Dpm | Podiatrist | 3121 Evelyn Dr, Ste 120, Beavercreek, OH 45434-4309 | 2006-05-18 |
| 1891744074 | Charlotte J. Lynch | Clinical Nurse Specialist | 3121 Evelyn Dr, Suite 110, Beavercreek, OH 45434-6382 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
| 1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
| 1295126027 | Taylor Shears | Behavioral Analyst | 608 Phillips Drive, Beavercreek, OH 45434 | 2015-02-16 |
| 1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
| 1396028783 | Shawna M White | Physical Therapist | 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 | 2011-09-22 |
| 1790063444 | Amy Michelle Williamson | Licensed Practical Nurse | 2111 Beaver Valley Rd., Beavercreek, OH 45434 | 2011-07-29 |
| 1730311333 | Victoria T Strickland | Physical Therapist | 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 | 2009-08-14 |
| 1487892964 | Emily Elizabeth Hendrickson | Nurse Practitioner | 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | 2009-01-22 |
| 1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
| 1942413919 | John Edward Seeley | Specialist/Technologist | 2621 Patrick Henry Drive, Beavercreek, OH 45434 | 2007-05-07 |
| Find all providers in zip 45434 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093111080 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1911 N. Fairfiled Rd, Suite 210, Beavercreek, OH 45432-2754 | 2014-11-18 |
| 1922286764 | Allen C Guehl Dpm Inc | Podiatrist | 2633 Commons Blvd, Suite 110, Beavercreek, OH 45431-3827 | 2008-02-04 |
| 1184627770 | Daniel Callahan | Podiatrist | 2290 Lakeview Dr, Ste B, Beavercreek, OH 45431-2576 | 2005-05-27 |
| 1306146576 | Community Medical Specialists | Podiatrist | 1911 N Fairfield Rd, Ste 210, Beavercreek, OH 45432-2762 | 2010-10-22 |
| 1194995167 | Dixie A. Dooley, Dpm, Inc. | Podiatrist | 2633 Commons Blvd, Suite 110, Beavercreek, OH 45431-3827 | 2008-03-06 |
| 1568490100 | Kevin F Sunshein Dpm Inc | Podiatrist | 2510 Commons Blvd, Ste 200b, Beavercreek, OH 45431-3821 | 2006-06-30 |
| 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 | ||||
| City | BEAVERCREEK |
| Zip Code | 45434 |
Please comment or provide details below to improve the information on BEAVERCREEK FOOT & ANKLE SPECIALISTS, LLC.
| 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.