Individual provider Active NPI

Mary Sarah Cernica-Reichard, DPM

  • Foot & Ankle Surgery Podiatrist
  • Austintown, OH
National Provider Identifier
1114023710
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003434 Issued in OH
Practice address
1300 S Canfield Niles Rd
Suite 1
Austintown, OH 44515-4081
Phone
(330) 792-6519
Fax
(330) 792-9911
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 36.003434 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003434 OH Primary

Addresses

Primary practice location

1300 S Canfield Niles Rd
Suite 1
Austintown, OH 44515-4081

Mailing address

7229 Trenholm Rd
Boardman, OH 44512-4743
Phone (330) 550-9811

Other identifiers 2

IdentifierTypeStateIssuer
000000497906OtherOHANTHEMBCBS
2687356MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003434OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Austintown Podiatry Associates Inc Primary Podiatric Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: reihard.mary@onehealth.medicity.net
  • Direct secure messaging: mary.reichard.p1@direct.oho.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1114023710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 TRENHOLM RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124743",
            "telephone_number": "330-550-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S CANFIELD NILES RD",
            "address_2": "SUITE 1",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154081",
            "telephone_number": "330-792-6519",
            "fax_number": "330-792-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNICA-REICHARD",
        "first_name": "MARY",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36.003434",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBS",
            "identifier": "000000497906",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2687356",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.