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Ohio Podiatric Physicians and Surgeons Group, LLC

Organization Active NPI Primary Podiatric Medicine Podiatrist · Austintown, OH

NPI 1285030684 · NPPES record last updated Nov 12, 2014

Key facts

NPI
1285030684
Entity type
Organization (NPI type 2)
Primary specialty
Primary Podiatric Medicine Podiatrist 213EP1101X
Legal business name
OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Practice address
1450 S Canfield Niles Rd
Austintown, OH 44515-4085
Phone
(330) 270-2700
Fax
(330) 792-2110
NPI assigned
Nov 12, 2014
Organization subpart
No

Authorized official

Name
Lawrence Didomenico, DPM
Title
Managing Partner
Phone
(330) 629-8800

Corporate family (same tax ID) 39

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

View all 39

National Provider Directory

Tax ID family
Ohio Podiatric Physicians and Surgeons Group LLC (40 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 213EP1101X Yes
Foot & Ankle Surgery Podiatrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 213ES0103X
Foot Surgery Podiatrist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 213ES0131X

Addresses

Primary practice location

1450 S Canfield Niles Rd
Austintown, OH 44515-4085

Mailing address

8175 Market St
Youngstown, OH 44512-6244
Phone (330) 629-8800

Other providers in Austintown, OH

All providers in Austintown, OH · Primary Podiatric Medicine Podiatrist in Ohio

Sources for this page

Verify at the official NPI Registry.