Active NPI
Performance Podiatry, Inc.
- Podiatrist
- Cincinnati, OH
National Provider Identifier
1114223666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36.003134
- Legal business name
- PERFORMANCE PODIATRY, INC.
- Practice address
- 2859 Boudinot Avenue
Suite 107
Cincinnati, OH 45238-0000 - Phone
- (513) 563-6228
- Fax
- (513) 577-7261
- NPI assigned
- Feb 1, 2011
- 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
- Rodney W Roof, DPM
- Title
- President
- Phone
- (513) 563-6228
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36.003134 | OH | Primary |
Addresses
Primary practice location
2859 Boudinot Avenue
Suite 107
Cincinnati, OH 45238-0000
Mailing address
10475 Reading Road
Suite 404
Cincinnati, OH 45241-2500
Phone (513) 563-6228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3075872 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Performance Podiatry Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Hamilton, OH
- NPI 1710254669
-
- Foot & Ankle Surgery Podiatrist
- Cincinnati, OH
- NPI 1376829739
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Cincinnati, OH
- NPI 1356333249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1114223666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10475 READING ROAD",
"address_2": "SUITE 404",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452412500",
"telephone_number": "513-563-6228",
"fax_number": "513-577-7261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2859 BOUDINOT AVENUE",
"address_2": "SUITE 107",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452380000",
"telephone_number": "513-563-6228",
"fax_number": "513-577-7261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE PODIATRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A",
"authorized_official_last_name": "ROOF",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-563-6228",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OH",
"license": "36.003134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3075872",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.