Urban Podiatry LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36.003201 Issued in OH

Legal business name

URBAN PODIATRY LLC

Practice address

4485 N High St
Columbus, OH 43214-2637

Phone

(614) 824-5336

Fax

(614) 732-4990

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Scot Francis Bertolo, D.P.M.NPI 1144225525

Title

Sole Member of LLC

Phone

(614) 824-5336

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5810/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Scot F. Bertolo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
  • NPI 1144225525
  Medicare reassignment NPD Authorized official
• Stephen Caswell, LPN

  • Licensed Practical Nurse
  • Columbus, OH
  • NPI 1790619021
  NPD

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1194957993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142637",
            "telephone_number": "614-824-5336",
            "fax_number": "614-732-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142637",
            "telephone_number": "614-824-5336",
            "fax_number": "614-732-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "BERTOLO",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "SOLE MEMBER OF LLC",
        "authorized_official_telephone_number": "614-824-5336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014946",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uqolifi Service Group LLC.
• Urban Acupuncture Center LLC
• Urban Health Center LLC
• Urban Limousine LLC
• Urban Pediatrics
• Urban Whiz Kidz Academy
• Karie S Urban, LSW
• Richard J Urbancic, MD
• Urbancrest Home Health Care LLC
• Barbara Urbanczyk

• Foot & Ankle Surgery Podiatrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.