Individual provider Active NPI

Erica Witherspoon, D.P.M.

  • Podiatrist
  • Fairlawn, OH
National Provider Identifier
1174056022
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003990 Issued in OH
Practice address
2950 W Market St
Fairlawn, OH 44333-3614
Phone
(330) 864-8501
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.003990 OH Primary

Addresses

Primary practice location

2950 W Market St
Fairlawn, OH 44333-3614

Mailing address

2950 W Market St
Fairlawn, OH 44333-3614
Phone (330) 864-8501

Other practice location 1

201 5th St NE Ste 5
Barberton, OH 44203-3017
Phone (330) 864-8501

Other practice location 2

1930 State Route 59
Kent, OH 44240-4112
Phone (330) 673-3505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721000836 OH Practitioner - Podiatry 9335563683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Clinical Services LLCGroup PAC ID 5991177313, 49 clinicians
United Podiatry IncGroup PAC ID 0143512046, 4 clinicians
Wound Care Consultants LLCGroup PAC ID 2567646359, 29 clinicians

Practice addresses (Care Compare)

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (216) 331-6750

1930 State Route 59
Suite D
Kent, OH 44240-4112
Phone (330) 673-3505

6789 Ridge Rd
Suite 305
Parma, OH 44129-5635
Phone (440) 491-8334

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue117
Removal of nail tissue309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003990OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Consultants LLC Podiatrist CurrentSince Jul 15, 2020 Accepting new patients
United Podiatry Inc CurrentSince Aug 1, 2021 Accepting new patients
Encore Clinical Services LLC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients
Lake Effect Health Current Accepting new patients
Hears LLC PastSince Jun 30, 2024 Accepting new patients

Locations

799 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 864-8501

632 E Market St
Ste B
Akron, OH 44304
Phone (330) 864-8501

201 5th St NE
Ste 5
Barberton, OH 44203
Phone (330) 673-3505

2950 W Market St
Ste H
Fairlawn, OH 44333
Phone (330) 864-8501

1930 State Route 59
Kent, OH 44240
Phone (330) 593-1042

1930 State Route 59
Ste D
Kent, OH 44240
Phone (330) 673-3505

12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

Interoperability endpoints

  • Direct secure messaging: ewitherspoon36963@ehrdirect.uhhospitals.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1174056022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333614",
            "telephone_number": "330-864-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333614",
            "telephone_number": "330-864-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 5th St NE Ste 5",
            "address_purpose": "LOCATION",
            "city": "Barberton",
            "state": "OH",
            "postal_code": "442033017",
            "country_code": "US",
            "telephone_number": "330-864-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 State Route 59",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442404112",
            "country_code": "US",
            "telephone_number": "330-673-3505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.