Active NPI
Middleburg Heights Podiatry LTD
- Primary Podiatric Medicine Podiatrist
- Middleburg Heights, OH
National Provider Identifier
1104921287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- MIDDLEBURG HEIGHTS PODIATRY LTD
- Practice address
- 18660 Bagley Rd
Suite 301
Middleburg Heights, OH 44130-3483 - Phone
- (440) 243-1473
- Fax
- (440) 243-1476
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Brown
- Title
- Access Manager
- Phone
- (440) 238-8843
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | OH | Primary |
Addresses
Primary practice location
18660 Bagley Rd
Suite 301
Middleburg Heights, OH 44130-3483
Mailing address
18660 Bagley Rd
Suite 301
Middleburg Heights, OH 44130-3483
Phone (440) 243-1473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2794712 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Cleveland, OH
- NPI 1700865292
-
- Podiatrist
- Mayfield Village, OH
- NPI 1225207863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623024000000",
"number": "1104921287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18660 BAGLEY RD",
"address_2": "SUITE 301",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303483",
"telephone_number": "440-243-1473",
"fax_number": "440-243-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18660 BAGLEY RD",
"address_2": "SUITE 301",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303483",
"telephone_number": "440-243-1473",
"fax_number": "440-243-1476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLEBURG HEIGHTS PODIATRY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "ACCESS MANAGER",
"authorized_official_telephone_number": "440-238-8843"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2794712",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg Heights, OH
- Michael Yerukhim, MD LLC
- Middleburg Early Education Center
- Middleburg Heights Alf Operations
- Middleburg Heights Dentistry
- Middleburg Heights Magic Dentistry LLC - Michael Crites DDS
- Middleburg Heights Podiatry LTD
- Middleburg-Legacy Place, LLC
- Middleburg-Legacy Place, LLC
- Adam Joseph Miller
- Erica Miller
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.