Foot and Ankle of Garrettsville Corp

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36-003345 Issued in OH

Legal business name

FOOT AND ANKLE OF GARRETTSVILLE CORP

Practice address

8131 Main St
Garrettsville, OH 44231-1215

Phone

(330) 527-4088

Fax

(330) 527-4089

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Aaron Maschek, DPM

Title

Owner

Phone

(330) 527-4088

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1144409962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 MAIN ST",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442311215",
            "telephone_number": "330-527-4088",
            "fax_number": "330-527-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 MAIN ST",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442311215",
            "telephone_number": "330-527-4088",
            "fax_number": "330-527-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE OF GARRETTSVILLE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "MASCHEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-527-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-003345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2479170",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC NUMBER",
            "identifier": "283847344-00",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tracy Englert
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• Brittney Paige Fuller, STNA
• G F Pharmacy Inc (Garrettsville Family Pharmacy)
• Melissa Gallaher, LPN
• Gentle Footcare LLC
• Leigh Ann Gianakos, RN, BSN

• Podiatrist in Garrettsville, OH
• Providers in Garrettsville, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.