Organization Active NPI

Ohio Podiatric Physicians and Surgeons Group, LLC

  • Primary Podiatric Medicine Podiatrist
  • Dayton, OH
National Provider Identifier
1043617020
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
36003474 Issued in OH
Legal business name
OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Practice address
5925 N. Main St.
Suite D
Dayton, OH 45415-3142
Phone
(937) 426-9500
Fax
(855) 482-2337
NPI assigned
Nov 19, 2014
Last updated
Dec 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Mrs. Maria D. Guehl
Title
Office Manager
Phone
(937) 426-9500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 36003474 OH Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 36003474 OH
Foot Surgery Podiatrist 213ES0131X 36003474 OH

Addresses

Primary practice location

5925 N. Main St.
Suite D
Dayton, OH 45415-3142

Mailing address

5925 N. Main St.
Suite D
Dayton, OH 45415-3142
Phone (937) 426-9500

National Provider Directory

National Provider Directory
Tax ID family
Ohio Podiatric Physicians and Surgeons Group LLC40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

5925 N Main St
Ste D
Dayton, OH 45415
Phone (937) 276-5871

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1043617020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 N. MAIN ST.",
            "address_2": "SUITE D",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153142",
            "telephone_number": "937-426-9500",
            "fax_number": "855-482-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 N. MAIN ST.",
            "address_2": "SUITE D",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153142",
            "telephone_number": "937-426-9500",
            "fax_number": "855-482-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "GUEHL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-426-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36003474",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003474",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36003474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.