NPIMap

Organization Active NPI

Heather a. Petrolla

  • Podiatrist
  • Youngstown, OH
National Provider Identifier
1124299466
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.001865 Issued in OH
Legal business name
HEATHER A. PETROLLA
Practice address
3507 Canfield Rd
Suite 7
Youngstown, OH 44511-2859
Phone
(330) 793-0566
Fax
(330) 793-5767
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Joanne Schulick
Title
Office Manager
Phone
(330) 793-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36.001865 OH Primary

Addresses

Primary practice location

3507 Canfield Rd
Suite 7
Youngstown, OH 44511-2859

Mailing address

3507 Canfield Rd
Suite 7
Youngstown, OH 44511-2859
Phone (330) 793-0566

National Provider Directory

National Provider Directory

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1124299466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 CANFIELD RD",
            "address_2": "SUITE 7",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112859",
            "telephone_number": "330-793-0566",
            "fax_number": "330-793-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 CANFIELD RD",
            "address_2": "SUITE 7",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112859",
            "telephone_number": "330-793-0566",
            "fax_number": "330-793-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER A. PETROLLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "SCHULICK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-793-0566"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.001865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.