NPIMap

Organization Active NPI

Advanced Foot and Ankle Centers Inc

  • Foot & Ankle Surgery Podiatrist
  • Warren, OH
National Provider Identifier
1194061002
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ADVANCED FOOT AND ANKLE CENTERS INC
Practice address
4441 Mahoning Ave NW Ste a
Warren, OH 44483-1976
Phone
(330) 856-2778
Fax
(330) 856-5436
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Diana KarnavasNPI 1194703157
Title
President
Phone
(330) 856-2778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

4441 Mahoning Ave NW Ste a
Warren, OH 44483-1976

Mailing address

8601 E Market St
Warren, OH 44484-2347
Phone (330) 856-2778

Other identifiers 1

IdentifierTypeStateIssuer
0651610MedicaidOH

Other names 1

  • ADVANCED PODIATRY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADVPOD@SBCGLOBAL.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130308000096 OH DME Supplier - Physician - Podiatry 1052309416 Practice locations: Warren, OH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Advanced Foot and Ankle3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4441 Mahoning Ave NW
Ste A
Warren, OH 44483
Phone (330) 847-8892

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1194061002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842347",
            "telephone_number": "330-856-2778",
            "fax_number": "330-856-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 MAHONING AVE NW STE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831976",
            "telephone_number": "330-856-2778",
            "fax_number": "330-856-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOOT AND ANKLE CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "KARNAVAS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-856-2778"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0651610",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADVPOD@SBCGLOBAL.NET",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "address_1": "4441 Mahoning Ave NW Ste A",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444831976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADVANCED PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.