Individual provider Active NPI

Amanda Leigh Quisno, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Newark, OH
National Provider Identifier
1265799217
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
003730 Issued in OH
Practice address
1920 Tamarack Rd
Newark, OH 43055-2303
Phone
(740) 344-8286
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 003730 OH Primary

Addresses

Primary practice location

1920 Tamarack Rd
Newark, OH 43055-2303

Mailing address

1920 Tamarack Rd
Newark, OH 43055-2303
Phone (419) 266-1280

Other practice location 1

393 E Town St Ste 116
Columbus, OH 43215-4799
Phone (614) 566-9108

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.quisno@FAASOCOL-OH.direct.office.nextgen.com Direct

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
I20150623002377 OH Practitioner - Podiatry 2769620673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of Central Ohio LLCGroup PAC ID 4981899408, 14 clinicians

Practice addresses (Care Compare)

1920 Tamarack Rd
Newark, OH 43055-2303
Phone (614) 339-2000

484 County Line Rd W
Suite 120
Westerville, OH 43082-7110
Phone (614) 339-2000

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue23
Removal of nail tissue64
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003730OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jan 26, 2020 Accepting new patients
Foot and Ankle Specialists of Central Ohio LLC CurrentSince Jul 1, 2015 Accepting new patients
Foot and Ankle Specialists of Central Ohio, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 26, 2020 Accepting new patients

Locations

6801 Dixie Hwy
Ste 134
Louisville, KY 40258
Phone (502) 447-4500

Dept L3652
Columbus, OH 43260

6002 E Main St
Columbus, OH 43213
Phone (614) 866-2477

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

426 Beecher Rd
Ste A
Gahanna, OH 43230
Phone (614) 939-9330

1920 Tamarack Rd
Newark, OH 43055
Phone (614) 755-5151

1030 Refugee Rd
Ste 295
Pickerington, OH 43147
Phone (614) 545-4321

484 County Line Rd W
Ste 120
Westerville, OH 43082
Phone (614) 895-9955

Interoperability endpoints

  • Direct secure messaging: amanda.quisno@faasocol-oh.direct.office.nextgen.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1265799217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "419-266-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-344-8286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 E Town St Ste 116",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154799",
            "country_code": "US",
            "telephone_number": "614-566-9108",
            "fax_number": "614-566-8737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUISNO",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "003730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.quisno@FAASOCOL-OH.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1920 Tamarack Rd",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430552303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.