Northcoast Foot and Ankle Associates, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2390 Issued in OH

Legal business name

NORTHCOAST FOOT AND ANKLE ASSOCIATES, INC.

Practice address

23823 Lorain Rd
Suite 280
North Olmsted, OH 44070-2254

Phone

(440) 734-5662

Fax

(440) 734-0989

NPI assigned

Nov 6, 2006

Last updated

Jun 13, 2013By 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

Debra L. Thornton, D.P.M.NPI 1891874756

Title

President

Phone

(440) 734-5662

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra L. Thornton, D.P.M.

  • Podiatrist
  • North Olmsted, OH
  • NPI 1891874756
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1033298385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 LORAIN RD",
            "address_2": "SUITE 280",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702254",
            "telephone_number": "440-734-5662",
            "fax_number": "440-734-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 LORAIN RD",
            "address_2": "SUITE 280",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702254",
            "telephone_number": "440-734-5662",
            "fax_number": "440-734-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCOAST FOOT AND ANKLE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-734-5662",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "395959503",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH06211961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Olmsted Accident & Injury Center, LLC
• North Olmsted Chiropractic Centre
• North Olmsted City School District
• North Olmsted Healthcare LLC
• North Olmsted Urgent Care, LLC
• Northeast Ohio Hearing Center
• Nova Wound Care LLC
• Ruth A. Obreza, RN
• Ohio CVS Stores LLC (CVS Pharmacy #17109)
• Ohio CVS Stores LLC (CVS Pharmacy #02587)

• Foot & Ankle Surgery Podiatrist in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.