Podiatry Home Health Care

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

36003284 Issued in OH

Legal business name

PODIATRY HOME HEALTH CARE

Practice address

5683 Pearl Rd
Parma, OH 44129-2528

Phone

(440) 885-2130

Fax

(440) 848-8406

NPI assigned

Apr 2, 2009

Last updated

May 19, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Barbara Lynn Petkovic, D.P.M.

Title

Podiatrist

Phone

(440) 885-2130

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Barbara L. Petkovic DPM Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1023250248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5683 PEARL RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292528",
            "telephone_number": "440-885-2130",
            "fax_number": "440-848-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5683 PEARL RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292528",
            "telephone_number": "440-885-2130",
            "fax_number": "440-848-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "PETKOVIC",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "440-885-2130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36003284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2323444",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barbara L. Petkovic DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pleasant Lake Nursing Home, Inc. (Pleasant Lake Villa - Laboratory)
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• Pleasant Valley Eyecare
• Anthony D Plescia, PT
• Raymond Peter Plona Jr., PT
• Cynthia Marie Polasko, COTAL
• Michael Jason Pollock, R.PH
• Karen Lynn Ponomarenko
• Mary Poremba, RDH
• Jace Porter

• Primary Podiatric Medicine Podiatrist in Parma, OH
• Providers in Parma, OH by specialty
• Primary Podiatric Medicine Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.