Individual provider Active NPI

Eric John Cwynar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1215965470
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003022 Issued in OH
Practice address
117 Lazelle Rd Ste B
Columbus, OH 43235-8605
Phone
(614) 885-3338
Fax
(614) 476-6944
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003022 OH Primary

Addresses

Primary practice location

117 Lazelle Rd Ste B
Columbus, OH 43235-8605

Mailing address

117 Lazelle Rd Ste B
Columbus, OH 43235-8605
Phone (614) 885-3338

Other identifiers 1

IdentifierTypeStateIssuer
2080537MedicaidOH

Other names 1

  • Eric J Cwynar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000342 OH Practitioner - Podiatry 6406837285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Podiatry and Surgery IncGroup PAC ID 3476533027, 4 clinicians

Practice addresses (Care Compare)

117 Lazelle Rd
Suite B
Columbus, OH 43235-8605
Phone (614) 885-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions21
Removal of nail tissue407
Removal or shaving of skin growth46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003022OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Podiatry & Surgery, Inc. Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients
Columbus Podiatry & Surgery, Inc. Podiatrist CurrentSince Sep 1, 2023 Accepting new patients
Gentle Footcare LLC Podiatrist Past Accepting new patients

Locations

117 Lazelle Rd
Ste B
Columbus, OH 43235
Phone (614) 885-3338

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1215965470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LAZELLE RD STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432358605",
            "telephone_number": "614-885-3338",
            "fax_number": "614-476-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LAZELLE RD STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432358605",
            "telephone_number": "614-885-3338",
            "fax_number": "614-476-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CWYNAR",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080537",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "CWYNAR",
            "middle_name": "J",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.