Bob Johns Shoes, Pedorthics & Repair

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LPED.20 Issued in OH

Legal business name

BOB JOHNS SHOES, PEDORTHICS & REPAIR

Practice address

2110 Spencerville Rd
Lima, OH 45805-3442

Phone

(419) 227-2829

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Robert A. Johns, C.PED

Title

Owner

Phone

(419) 227-2829

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1134476468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SPENCERVILLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053442",
            "telephone_number": "419-227-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 SPENCERVILLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053442",
            "telephone_number": "419-227-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB JOHNS SHOES, PEDORTHICS & REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-227-2829",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "LPED.20",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LPED.20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Block, PHARMD
• Amber Rose Blosser, LPN
• Erika Blosser
• Morgan Elizabeth Blubaugh, RPH
• Anne N Blunk, LISW
• Traci Bockey, RN
• Lisa Ann Boday
• Dana Bodine, LMT
• Melisa C Bodkin, CNP
• Brittany Boehnlein, PT, DPT

• Prosthetic/Orthotic Supplier in Lima, OH
• Providers in Lima, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.