Thomas L Retzios DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2703 Issued in OH

Legal business name

THOMAS L RETZIOS DPM INC

Practice address

2 Prestige PL Ste 210
Miamisburg, OH 45342-6141

Phone

(937) 223-2300

Fax

(937) 223-2333

NPI assigned

Jun 24, 2010

Last updated

Jul 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas L Retzios, DPMNPI 1558366393

Title

Owner

Phone

(937) 223-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Thomas L Retzios, DPM

  • Podiatrist
  • Miamisburg, OH
  • NPI 1558366393
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1235440215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621015",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452621015",
            "telephone_number": "937-223-2300",
            "fax_number": "937-223-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PRESTIGE PL STE 210",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426141",
            "telephone_number": "937-223-2300",
            "fax_number": "937-223-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L RETZIOS DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "RETZIOS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-223-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3128136",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.