Active NPI
Ohio Foot Care Inc.
- Podiatrist
- Columbus, OH
National Provider Identifier
1194910901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003295
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2944201 | Medicaid | OH | |
| 2305991 | Medicaid | OH | |
| DF0051 | Other | OH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1285660274
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
- Ohio Executive Psychiatry, LLC
- Ohio Family Care LLC
- Ohio Family Care LLC
- Ohio Family Dental Center Dr, Jerome Urell and Associates Inc.
- Ohio Foot & Ankle, Inc.
- Ohio Gambling Telehealth Network
- Ohio Gastroenteology Group, Inc.
- Ohio Gastroenterology Group, Inc.
- Ohio Gastroenterology Group, Inc.
- Ohio Heallth
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.