Active NPI
Foot and Ankle Centers of Ohio, Inc.
- Foot & Ankle Surgery Podiatrist
- St Marys, OH
National Provider Identifier
1174574354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36003384
- Legal business name
- FOOT AND ANKLE CENTERS OF OHIO, INC.
- Practice address
- 1013 E Spring St
St Marys, OH 45885-2447 - Phone
- (419) 394-8664
- Fax
- (419) 394-1148
- NPI assigned
- May 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene R Little Jr., DPM
- Title
- President
- Phone
- (419) 394-8664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36003384 | OH | Primary |
Addresses
Primary practice location
1013 E Spring St
St Marys, OH 45885-2447
Mailing address
1013 E Spring St
St Marys, OH 45885-2447
Phone (419) 394-8664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0991646 | Medicaid | OH | |
| CJ0376 | Other | OH | MEDICARE RAILROAD GROUP |
National Provider Directory
National Provider DirectoryLocations
825 W Market St
Ste 305
Lima, OH 45805
Phone (419) 224-8414
1013 E Spring St
Saint Marys, OH 45885
Phone (419) 394-8664
2097 W Russell Rd
Sidney, OH 45365
Phone (937) 492-9094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355788800000",
"number": "1174574354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 E SPRING ST",
"city": "ST MARYS",
"state": "OH",
"postal_code": "458852447",
"telephone_number": "419-394-8664",
"fax_number": "419-394-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 E SPRING ST",
"city": "ST MARYS",
"state": "OH",
"postal_code": "458852447",
"telephone_number": "419-394-8664",
"fax_number": "419-394-1148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE CENTERS OF OHIO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-13",
"last_updated": "2012-12-18",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-394-8664",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36003384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0991646",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP",
"identifier": "CJ0376",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Marys, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.