Ankle and Foot Care Centers
Organization Active NPI Podiatrist · Poland, OH
NPI 1073554028 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1073554028
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- ANKLE AND FOOT CARE CENTERS
- Practice address
- 3262 Center Rd
Poland, OH 44514-2201 - Phone
- (330) 707-1220
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Lawrence Didomenico, DPM
- Title
- DPM
- Phone
- (330) 629-8800
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
3262 Center Rd
Poland, OH 44514-2201
Mailing address
3262 Center Rd
Poland, OH 44514-2201
Phone (330) 707-1220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5504 | Other | OH | RAILROAD MEDICARE |
| 0102758 | Medicaid | OH |
Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.