Organization Active NPI

Balance Foot and Ankle LLC

  • Adult Health Nurse Practitioner
  • Medina, OH
National Provider Identifier
1083541122
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
BALANCE FOOT AND ANKLE LLC
Practice address
4073 N Jefferson St
Medina, OH 44256-5622
Phone
(216) 658-0111
Fax
(216) 658-0110
NPI assigned
May 5, 2026
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Karen S Cogar
Title
Am
Phone
(216) 712-6556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU

Addresses

Primary practice location

4073 N Jefferson St
Medina, OH 44256-5622

Mailing address

4073 N Jefferson St
Medina, OH 44256-5622
Phone (216) 658-0111

National Provider Directory

National Provider Directory
Tax ID family
Balance Foot and Ankle LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1083541122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073 N JEFFERSON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565622",
            "telephone_number": "216-658-0111",
            "fax_number": "216-658-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4073 N JEFFERSON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565622",
            "telephone_number": "216-658-0111",
            "fax_number": "216-658-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "COGAR",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AM",
        "authorized_official_telephone_number": "216-712-6556"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.