Organization Active NPI

Montrose Foot Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Fairlawn, OH
National Provider Identifier
1104014240
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002777 Issued in OH
Legal business name
MONTROSE FOOT CENTER, INC.
Practice address
3610 W Market St
Fairlawn, OH 44333-9301
Phone
(330) 666-7256
Fax
(330) 666-7256
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Michael A Feltman, DPMNPI 1558363721
Title
President
Phone
(330) 666-7256

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 36002777 OH Primary

Addresses

Primary practice location

3610 W Market St
Fairlawn, OH 44333-9301

Mailing address

3610 W Market St
Fairlawn, OH 44333-9301
Phone (330) 666-7256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000423 OH Part B Supplier - Clinic/Group Practice 7618135815 Receives reassigned benefits from 1 practitioner
Practice locations: Fairlawn, OH

National Provider Directory

National Provider Directory

Locations

3610 W Market St
Fairlawn, OH 44333
Phone (330) 666-7256

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1104014240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339301",
            "telephone_number": "330-666-7256",
            "fax_number": "330-666-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339301",
            "telephone_number": "330-666-7256",
            "fax_number": "330-666-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE FOOT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "FELTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-666-7256",
        "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": "36002777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.