Organization Active NPI

West Chester Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • West Chester, OH
National Provider Identifier
1083909337
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3603391 Issued in OH
Legal business name
WEST CHESTER PODIATRY, LLC
Practice address
8746 Union Centre Blvd
West Chester, OH 45069-4876
Phone
(513) 779-9673
Fax
(513) 779-3452
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Dr. Brian L Ash, DPMNPI 1811951478
Title
President
Phone
(513) 779-9673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 3603391 OH Primary

Addresses

Primary practice location

8746 Union Centre Blvd
West Chester, OH 45069-4876

Mailing address

8746 Union Centre Blvd
West Chester, OH 45069-4876
Phone (513) 779-9673

Other identifiers 1

IdentifierTypeStateIssuer
3009041MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111027000277 OH DME Supplier - Physician - Podiatry 2365615903 Practice locations: West Chester, OH
O20111028000298 OH Part B Supplier - Clinic/Group Practice 2365615903 Receives reassigned benefits from 1 practitioner
Practice locations: West Chester, OH

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1083909337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8746 UNION CENTRE BLVD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694876",
            "telephone_number": "513-779-9673",
            "fax_number": "513-779-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8746 UNION CENTRE BLVD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694876",
            "telephone_number": "513-779-9673",
            "fax_number": "513-779-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CHESTER PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-779-9673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "3603391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3009041",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.