Organization Active NPI

West Ohio Family Footcare, Inc.

  • Podiatrist
  • Van Wert, OH
National Provider Identifier
1144404963
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002056 Issued in OH
Legal business name
WEST OHIO FAMILY FOOTCARE, INC.
Practice address
1175 Westwood Dr
Suite 201
Van Wert, OH 45891-2491
Phone
(419) 238-3570
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Samuel Neuschwanger, DPM
Title
Owner
Phone
(419) 238-3570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36002056 OH Primary

Addresses

Primary practice location

1175 Westwood Dr
Suite 201
Van Wert, OH 45891-2491

Mailing address

1175 Westwood Dr
Suite 201
Van Wert, OH 45891-2491
Phone (419) 238-3570

Other identifiers 2

IdentifierTypeStateIssuer
2577466MedicaidOH
CM0992OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1144404963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 WESTWOOD DR",
            "address_2": "SUITE 201",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912491",
            "telephone_number": "419-238-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 WESTWOOD DR",
            "address_2": "SUITE 201",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912491",
            "telephone_number": "419-238-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OHIO FAMILY FOOTCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "NEUSCHWANGER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-238-3570",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2577466",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM0992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.