JLA SENIOR FOOTCARE OH PA LLC


Address: 6715 Tippecanoe Rd Bldg F, Canfield, OH 44406-8180
Phone: 3307020978

JLA SENIOR FOOTCARE OH PA LLC (NPI# 1376859298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376859298
Entity Type Organization
Organization Name JLA SENIOR FOOTCARE OH PA LLC
Practice Address 6715 Tippecanoe Rd Bldg F
Canfield
OH 44406-8180
Mailing Address 4870 S Aspen Ct
Canfield
OH 44406-8469
Practice Telephone 3307020978
Practice Fax Number 3302863202
Mailing Telephone 3307020978
Mailing Fax Number 3302863202
Enumeration Date 2010-08-30
Last Update Date 2011-06-24
Authorized Official Name ANTHONY E INNOCENZI (OWNER)
Authorized Official Telephone 3307020978
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 36003012 OH Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 3095896 05

Office Location

Street Address 6715 TIPPECANOE RD BLDG F
City CANFIELD
State OH
Zip Code 44406-8180

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952802282 Julie Nicole Austalosh Case Manager/Care Coordinator 3711 Indian Run Dr Apt 7, Canfield, OH 44406 2018-02-22
1073064887 Abby Smith Specialist/Technologist 250 Lake Pointe Circle, Canfield, OH 44406 2016-10-17
1255887949 Chris Smallwood II Driver 6128 St Andrews Dr, Canfield, OH 44406 2016-09-01
1831572064 Gateways To Better Living Intermediate Care Facility, Mentally Retarded 41 Talsman Drive, Youngstown, OH 44406 2015-07-07
1568845790 Gateways To Better Living Intermediate Care Facility, Mentally Retarded 3222 Forty Second Street, Youngstown, OH 44406 2015-07-07
1003212051 Diane Pool Registered Nurse 100 Wadsworth Street, Canfield, OH 44406 2014-11-18
1215353990 Jeanne Siverd Occupational Therapy Assistant 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 2014-03-05
1134565641 Dema Halasa Esper Dietitian, Registered 52 Timber Run Dr., Canfield, OH 44406 2013-05-13
1851680615 Kimberly Jean Fyock Licensed Practical Nurse 7720 Lydia Ln, Canfield, OH 44406 2011-04-01
1205060654 Jennifer L Morris Registered Nurse 3787 Mercedes Place, Canfield, OH 44406 2009-05-13
Find all providers in zip 44406

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710202148 Dpminnocenzinroh LLC Podiatrist 4870 S Aspen Ct, Canfield, OH 44406-8469 2010-03-29
1255336079 Anthony Innocenzi Podiatrist 6715 Tippecanoe Rd, Building F Unit 101, Canfield, OH 44406-8180 2005-06-17
1386716827 Anthony E Innocenzi Dpm Inc Podiatrist 3660 Starrs Centre Dr, Suite 3, Canfield, OH 44406-9514 2006-11-13
1265499081 David N Baer Dpm Podiatrist 3660 Starrs Centre Dr, Canfield, OH 44406-8506 2006-04-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013518950 Mobile Foot Care Specialists, L.L.C. Podiatrist 38752 Renwood Ave, Avon, OH 44011-5229 2020-11-06
1275159345 Buckeye Foot Care Podiatrist 5105 Som Center Rd Ste 102, Willoughby, OH 44094-4203 2020-06-24
1285289439 Brent L. Rubin & Associates Inc Podiatrist 755 W South Boundary St, Perrysburg, OH 43551-5226 2019-08-05
1902467459 Zaccardelli and Ritz Podiatrist 5556 Ridge Rd, Parma, OH 44129-2305 2019-06-25
1134786635 Integrity Foot and Ankle Associates, LLC Podiatrist 1740 Cooper Foster Park Rd W Ste B, Lorain, OH 44053-4201 2019-05-21
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
1770149296 Foot and Ankle Specialists of Central Ohio, LLC Podiatrist 6002 E. Main Street, Columbus, OH 43213-3355 2019-05-10
1295390268 Greenberg Foot and Ankle Podiatrist 1989 Miamisburg Centerville Rd Ste 200, Dayton, OH 45459-3858 2019-05-06
1083278287 Kburtondpm LLC Podiatrist 662 Seagull Ct, Westerville, OH 43082-8534 2019-04-24
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Competitor

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City CANFIELD
Zip Code 44406

Improve Information

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Dataset Information

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.

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