Organization Active NPI

Portage Foot Health, Inc.

  • Podiatrist
  • Ravenna, OH
National Provider Identifier
1114140977
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1979 Issued in OH
Legal business name
PORTAGE FOOT HEALTH, INC.
Practice address
444 S Meridian St
Ste 7
Ravenna, OH 44266-2961
Phone
(330) 297-7330
Fax
(330) 298-0497
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Michael G Warshaw, D.P.M.
Title
President
Phone
(330) 297-7330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1979 OH Primary

Addresses

Primary practice location

444 S Meridian St
Ste 7
Ravenna, OH 44266-2961

Mailing address

444 S Meridian St
Ste 7
Ravenna, OH 44266-2961
Phone (330) 297-7330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1114140977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S MERIDIAN ST",
            "address_2": "STE 7",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662961",
            "telephone_number": "330-297-7330",
            "fax_number": "330-298-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S MERIDIAN ST",
            "address_2": "STE 7",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662961",
            "telephone_number": "330-297-7330",
            "fax_number": "330-298-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE FOOT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "WARSHAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-297-7330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "1979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.