NPIMap

Organization Active NPI

Ohio Podiatric Physician and Surgeons Group

  • Primary Podiatric Medicine Podiatrist
  • Stow, OH
National Provider Identifier
1285030577
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
36-00-3300D Issued in OH
Legal business name
OHIO PODIATRIC PHYSICIAN AND SURGEONS GROUP
Practice address
3553 Darrow Rd
Stow, OH 44224-4008
Phone
(330) 688-7764
Fax
(330) 688-7876
NPI assigned
Nov 13, 2014
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Dr. Jeremy Franklin Davis, DPMNPI 1538156062
Title
Physician
Phone
(330) 688-7764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 36-00-3300D OH Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 36-00-3300D OH
Foot Surgery Podiatrist 213ES0131X 36-00-3300D OH

Addresses

Primary practice location

3553 Darrow Rd
Stow, OH 44224-4008

Mailing address

335 E Waterloo Rd
Akron, OH 44319-1218
Phone (330) 724-8689

National Provider Directory

National Provider Directory
Tax ID family
Ohio Podiatric Physicians and Surgeons Group LLC40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

335 E Waterloo Rd
Akron, OH 44319
Phone (216) 724-8689

3553 Darrow Rd
Stow, OH 44224
Phone (330) 688-7764

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1285030577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191218",
            "telephone_number": "330-724-8689",
            "fax_number": "330-724-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244008",
            "telephone_number": "330-688-7764",
            "fax_number": "330-688-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO PODIATRIC PHYSICIAN AND SURGEONS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-688-7764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36-00-3300D",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-3300D",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36-00-3300D",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.