EXECUTIVE FOOT CENTER INC (NPI# 1699980276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699980276 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE FOOT CENTER INC |
| Practice Address |
5520 Broadview Rd Parma OH 44134-1605 |
| Mailing Address |
3650 Severn Rd Cleveland Hts OH 44118-1907 |
| Practice Telephone | 8003790398 |
| Mailing Telephone | 8003790398 |
| Mailing Fax Number | 2169329991 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EZRIEL ZELIG SCHUR (PRESIDENT) |
| Authorized Official Telephone | 8003790398 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36002038 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 0005797562 | 01 |
| OH | 0465974 | 05 | |
| OH | NATIONWIDE | 57116 | 01 |
| OH | ANTHEM BLUE CROSS & BLUE | 220PROFMEDDUMY | 01 |
| Street Address |
5520 BROADVIEW RD |
| City | PARMA |
| State | OH |
| Zip Code | 44134-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508853383 | Broadview Nursing Home Inc | Skilled Nursing Facility | 5520 Broadview Rd, Parma, OH 44134-1605 | 2005-10-05 |
| 1457630600 | Edward D Trela | Physical Therapist | 5520 Broadview Rd, Parma, OH 44134-1605 | 2011-08-05 |
| 1093013245 | Michelle Dawn Miller | Speech-Language Pathologist | 5520 Broadview Rd, Parma, OH 44134-1605 | 2011-03-10 |
| 1669603429 | Amy Marie Nolan | Occupational Therapist | 5520 Broadview Rd, Parma, OH 44134-1605 | 2009-07-28 |
| 1275799660 | Broadview Nursing Home, Inc. | Clinical Medical Laboratory | 5520 Broadview Rd, Parma, OH 44134-1605 | 2008-08-05 |
| 1548487317 | Maryann Kay Goebel | Physical Therapist | 5520 Broadview Rd, Parma, OH 44134-1605 | 2007-04-20 |
| 1891814885 | Cynthia Marie Polasko | Occupational Therapy Assistant | 5520 Broadview Rd, Parma, OH 44134-1605 | 2007-03-29 |
| 1144349887 | Linda May Surace | Occupational Therapy Assistant | 5520 Broadview Rd, Parma, OH 44134-1605 | 2007-03-27 |
| 1972698363 | Elzbieta Szablicki | Occupational Therapy Assistant | 5520 Broadview Rd, Parma, OH 44134-1605 | 2006-10-03 |
| 1548294010 | Louise Richert | Physical Therapy Assistant | 5520 Broadview Rd, Parma, OH 44134-1605 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083061709 | Gary A. Long | Occupational Therapy Assistant | 3920 Hilltop Drive, Parma, OH 44134 | 2016-05-23 |
| 1932556057 | Roman Povroznik | Social Worker | 4414 Forest Hills Blvd, Parma, OH 44134 | 2016-05-18 |
| 1316321441 | Frank Townsley Jr. | Counselor | 6735 State Rd Cottage 16, Parma, OH 44134 | 2015-07-18 |
| 1083019624 | Camille Grant | Licensed Practical Nurse | 5556 Broaview Rd. Apt3123, Parma, OH 44134 | 2014-10-24 |
| 1952721201 | Vernard Jones Sr. | Nurse's Aide | 2419 Stanfield Dr., Parma, OH 44134 | 2014-04-24 |
| 1255772463 | Deborah Halina Palmentera | Day Training/Habilitation Specialist | 1911 Grantwood Drive, Parma, OH 44134 | 2013-07-16 |
| 1962710582 | Abdallah Ali | Family Medicine | 1400 W Pleasant Valley Road, Parma, OH 44134 | 2010-09-16 |
| 1285947044 | Gwendolyn M Klamut | Speech-Language Pathologist | 5525 Broadview Road, Parma, OH 44134 | 2010-07-22 |
| 1992943435 | Gina Friszman | Speech-Language Pathologist | 5273 Broadview Rd., The Therapy Link, Parma, OH 44134 | 2009-01-21 |
| 1285823252 | Teresa Ellen Blevins | Occupational Therapy Assistant | 1440 Snow Road, Parma, OH 44134 | 2007-10-16 |
| Find all providers in zip 44134 | ||||
| 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 |
|---|---|---|---|---|
| 1902467459 | Zaccardelli and Ritz | Podiatrist | 5556 Ridge Rd, Parma, OH 44129-2305 | 2019-06-25 |
| 1831695840 | Stephan Cunningham | Podiatrist | 5500 Laurent Dr Apt 728, Parma, OH 44129-5978 | 2018-03-30 |
| 1427251263 | Charles Leo Beatty IIi | Podiatrist | 7441 West Ridgewood Drive, Parmatown Medical Bldg North #253, Parma, OH 44129-5544 | 2007-06-08 |
| 1205852225 | Jennifer Ann Rossi | Podiatrist | 7612 Dresden Ave, Parma, OH 44129-2804 | 2006-07-14 |
| 1922038124 | Thomas J Depolo | Podiatrist | 5625 Ridge Rd, Parma, OH 44129-2633 | 2006-07-03 |
| 1174526818 | Catherine Brigid Hegarty | Podiatrist | 6539 Roycroft Dr, Parma, OH 44129-5532 | 2005-05-26 |
| 1407204019 | University Primary Care Practices Inc | Podiatrist | 6681 Ridge Rd, Ste 405, Parma, OH 44129-5713 | 2016-05-25 |
| 1306199583 | Dpmhorowitzproh LLC | Podiatrist | 5500 Ridge Rd, Suite 138, Parma, OH 44129-2394 | 2012-10-24 |
| 1477721462 | Ara E Kallibjian | Podiatrist | 6115 Powers Blvd, Ste 305, Parma, OH 44129-5469 | 2008-02-13 |
| 1568640795 | Mila Davidovic | Podiatrist | 6115 Powers Blvd, Ste 305, Parma, OH 44129-5469 | 2008-02-11 |
| Find all providers in PARMA | ||||
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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.