Active NPI
Premier Foot & Ankle Care LLC
- Podiatrist
- Canton, OH
National Provider Identifier
1215696315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PREMIER FOOT & ANKLE CARE LLC
- Practice address
- 5454 Fulton Dr NW
Canton, OH 44718-1727 - Phone
- (330) 899-1051
- NPI assigned
- Dec 16, 2021
- 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
- Kimberly S. Kemper, DPM
- Title
- President
- Phone
- (330) 899-1051
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
5454 Fulton Dr NW
Canton, OH 44718-1727
Mailing address
3593 S Arlington Rd Ste C
Akron, OH 44312-5271
Phone (330) 899-1051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469288 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Akron, OH
- NPI 1427126234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1215696315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3593 S ARLINGTON RD STE C",
"city": "AKRON",
"state": "OH",
"postal_code": "443125271",
"telephone_number": "330-899-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 FULTON DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447181727",
"telephone_number": "330-899-1051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER FOOT & ANKLE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-16",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "KEMPER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-899-1051",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0469288",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.