Organization Active NPI

Ohio Foot Care Inc.

  • Podiatrist
  • Columbus, OH
National Provider Identifier
1194910901
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003295 Issued in OH
Legal business name
OHIO FOOT CARE INC.
Practice address
2525 Tiller LN
Suite 105
Columbus, OH 43231-2267
Phone
(614) 901-0000
Fax
(614) 901-4117
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Theresa Lynn Vacheresse, DPM
Title
Owner
Phone
(614) 901-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36003295 OH Primary

Addresses

Primary practice location

2525 Tiller LN
Suite 105
Columbus, OH 43231-2267

Mailing address

855 W Coshocton St
Johnstown, OH 43031-9587
Phone (614) 901-0000

Other identifiers 3

IdentifierTypeStateIssuer
2944201MedicaidOH
2305991MedicaidOH
DF0051OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2525 Tiller Ln
Ste 105
Columbus, OH 43231
Phone (614) 901-0000

Practitioners & affiliated clinicians

Practitioners 1

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": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1194910901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W COSHOCTON ST",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319587",
            "telephone_number": "614-901-0000",
            "fax_number": "614-901-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 TILLER LN",
            "address_2": "SUITE 105",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312267",
            "telephone_number": "614-901-0000",
            "fax_number": "614-901-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO FOOT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "VACHERESSE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-901-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2944201",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305991",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.