Active NPI
Mary Sarah Cernica-Reichard, DPM
- Foot & Ankle Surgery Podiatrist
- Austintown, OH
National Provider Identifier
1114023710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36.003434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000497906 | Other | OH | ANTHEMBCBS |
| 2687356 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36.003434 | OH | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austintown Podiatry Associates Inc | Primary Podiatric Medicine | Past | Accepting new patients |
Interoperability endpoints
- reihard.mary@onehealth.medicity.net
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Austintown, OH
- NPI 1356412142
Primary Podiatric Medicine
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.