NPIMap

Organization Active NPI

Foot and Ankle Specialists of Central Ohio LLC

  • Durable Medical Equipment & Medical Supplies
  • Westerville, OH
National Provider Identifier
1093685208
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC
Practice address
484 County Line Rd W Ste 120
Westerville, OH 43082-7110
Phone
(614) 339-2000
Fax
(614) 891-4141
NPI assigned
Nov 11, 2025
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Blanca M Lugo
Title
Credentialing Manager
Phone
(210) 899-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

484 County Line Rd W Ste 120
Westerville, OH 43082-7110

Mailing address

484 County Line Rd W Ste 120
Westerville, OH 43082-7110
Phone (614) 339-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260226004086 OH DME Supplier - Physician - Podiatry 4981899408 Practice locations: Westerville, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Foot and Ankle Specialists of Central Ohio LLC3 organizations share this tax ID, including this one
Part of
Foot and Ankle Specialists of Central Ohio LLC

Other organizations with this tax ID 2

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

Locations

1 Healthy Pl
#202
Pataskala, OH 43062

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1093685208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W STE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827110",
            "telephone_number": "614-339-2000",
            "fax_number": "614-891-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W STE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827110",
            "telephone_number": "614-339-2000",
            "fax_number": "614-891-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "210-899-1026"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.