Organization Active NPI

Foot and Ankle Institute, Inc

  • Durable Medical Equipment & Medical Supplies
  • Norton, OH
National Provider Identifier
1205901105
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
36-002891 Issued in OH
Legal business name
FOOT AND ANKLE INSTITUTE, INC
Practice address
1193 Norton Avenue
Unit D
Norton, OH 44203-9516
Phone
(330) 825-7878
Fax
(330) 658-3387
NPI assigned
Nov 24, 2006
Last updated
Aug 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Authorized official

Name
Jon D Oliverio, DPMNPI 1710985163
Title
Owner
Phone
(330) 825-7878

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 36-002891 OH Primary
Podiatrist 213E00000X 36-002891 OH
Physical Therapist 225100000X 36-002891 OH

Addresses

Primary practice location

1193 Norton Avenue
Unit D
Norton, OH 44203-9516

Mailing address

1193 Norton Avenue
Suite D
Norton, OH 44203-9526
Phone (330) 825-7878

Other identifiers 1

IdentifierTypeStateIssuer
2755700MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070420000177 OH Part B Supplier - Clinic/Group Practice 3678678596 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: New Philadelphia, OH; Norton, OH
O20100930096728 OH DME Supplier - Physician - Podiatry 3678678596 Practice locations: Norton, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foot and Ankle Institute in2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

400 Collier Dr
Unit C
Doylestown, OH 44230
Phone (330) 658-2083

152 N Broadway St
Ste 101
New Philadelphia, OH 44663
Phone (740) 922-1188

1193 Norton Ave
Ste D
Norton, OH 44203
Phone (330) 825-7878

4164 S Cleveland Massillon Rd
Norton, OH 44203
Phone (330) 825-7878

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1205901105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 NORTON AVENUE",
            "address_2": "SUITE D",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442039526",
            "telephone_number": "330-825-7878",
            "fax_number": "330-595-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 NORTON AVENUE",
            "address_2": "UNIT D",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442039516",
            "telephone_number": "330-825-7878",
            "fax_number": "330-658-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "OLIVERIO",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-825-7878",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "36-002891",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-002891",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "36-002891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2755700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.