Organization Active NPI

Foot and Ankle Centers of Ohio, Inc.

  • Foot & Ankle Surgery Podiatrist
  • St Marys, OH
National Provider Identifier
1174574354
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003384 Issued in OH
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

Updated by the provider on Dec 18, 2012

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0991646MedicaidOH
CJ0376OtherOHMEDICARE RAILROAD GROUP

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.