Organization Active NPI

Capital City Foot & Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1225399363
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
03618 Issued in OH
Legal business name
CAPITAL CITY FOOT & ANKLE LLC
Practice address
1570 Fishinger Rd
Columbus, OH 43221-2114
Phone
(614) 451-7033
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Marcia Kay Baynham, DPM
Title
Partner
Phone
(937) 597-8303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 03618 OH Primary

Addresses

Primary practice location

1570 Fishinger Rd
Columbus, OH 43221-2114

Mailing address

1570 Fishinger Rd
Columbus, OH 43221-2114
Phone (614) 451-7033

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120717000085 OH Part B Supplier - Clinic/Group Practice 1456517606 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, OH
O20121031000651 OH DME Supplier - Multi-Specialty - Physician 1456517606 Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1225399363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212114",
            "telephone_number": "614-451-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 FISHINGER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212114",
            "telephone_number": "614-451-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BAYNHAM",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "937-597-8303",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "03618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.