Organization Active NPI

Premier Foot & Ankle Care LLC

  • Podiatrist
  • Akron, OH
National Provider Identifier
1114698750
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PREMIER FOOT & ANKLE CARE LLC
Practice address
3593 S Arlington Rd Ste C
Akron, OH 44312-5271
Phone
(330) 899-1051
Fax
(330) 899-1057
NPI assigned
Sep 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Kimberly S Kemper, DPMNPI 1427126234
Title
Owner
Phone
(330) 899-1051

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3593 S Arlington Rd Ste C
Akron, OH 44312-5271

Mailing address

8350 Esquire St NW
Massillon, OH 44646-8721
Phone (330) 899-1051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211209001695 OH Part B Supplier - Clinic/Group Practice 7911397773 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH; Canton, OH; Norton, OH
O20220316003322 OH DME Supplier - Physician - Podiatry 7911397773 Practice locations: Akron, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Premier Foot Ankle Care LL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1033 E Turkeyfoot Lake Rd
Ste 202
Green, OH 44312
Phone (330) 899-1051

3300 Greenwich Rd
Norton, OH 44203
Phone (330) 825-7371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1114698750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 ESQUIRE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468721",
            "telephone_number": "330-899-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD STE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-899-1051",
            "fax_number": "330-899-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT & ANKLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-899-1051",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.