Individual provider Active NPI

Stephanie Michele Ouhadi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lorain, OH
National Provider Identifier
1235433558
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003598 Issued in OH
Practice address
4560 Oberlin Ave Ste 1
Lorain, OH 44053-3195
Phone
(440) 282-7387
Fax
(440) 282-7388
NPI assigned
Dec 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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 36.003598 OH Primary

Addresses

Primary practice location

4560 Oberlin Ave Ste 1
Lorain, OH 44053-3195

Mailing address

4560 Oberlin Ave Ste 1
Lorain, OH 44053-3195
Phone (440) 282-7387

Other names 1

  • Stephanie Michele Merrow Former 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
I20140620001053 OH Practitioner - Podiatry 6608090220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4560 Oberlin Ave
Suite 1
Lorain, OH 44053-3195
Phone (440) 282-7387

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003598OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stephanie M Ouhadi, LLC CurrentSince Apr 2, 2018 Accepting new patients
Corrigan Podiatry Group CurrentSince May 6, 2014 Accepting new patients
Corrigan Podiatry Group Foot & Ankle Surgery CurrentSince May 6, 2014 Accepting new patients

Locations

4560 Oberlin Ave
Ste 1
Lorain, OH 44053
Phone (440) 282-7387

28687 Center Ridge Rd
Westlake, OH 44145
Phone (440) 835-5511

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": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1235433558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 OBERLIN AVE STE 1",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533195",
            "telephone_number": "440-282-7387",
            "fax_number": "440-282-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 OBERLIN AVE STE 1",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533195",
            "telephone_number": "440-282-7387",
            "fax_number": "440-282-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUHADI",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MERROW",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.