Dpmkrywiakproh LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36.003526 Issued in OH

Legal business name

DPMKRYWIAKPROH LLC

Practice address

5500 Ridge Rd
138
Parma, OH 44129-2394

Phone

(440) 884-1034

Fax

(440) 884-0755

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Adriana R Krywiak, DPM

Title

Sole Member

Phone

(440) 376-8523

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1083971659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 RIDGE RD",
            "address_2": "138",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292394",
            "telephone_number": "440-884-1034",
            "fax_number": "440-884-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 RIDGE RD",
            "address_2": "138",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292394",
            "telephone_number": "440-884-1034",
            "fax_number": "440-884-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMKRYWIAKPROH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "KRYWIAK",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "440-376-8523",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Parma, OH
• Providers in Parma, 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 9, 2020; 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.