Leslee Ruszkowski
Individual provider Active NPI Podiatrist · Beloit, OH
NPI 1285601757 · NPPES record last updated Aug 17, 2010
Key facts
- NPI
- 1285601757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 36003010 (OH)
- Practice address
- 18586 5TH St
Beloit, OH 44609-9799 - Phone
- (330) 938-3333
- Fax
- (330) 938-9375
- NPI assigned
- Mar 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18586 5TH St
Beloit, OH 44609-9799
Phone (330) 704-7400
2231 Whiipple Ave NW
Canton, OH 44708-1501
Phone (330) 704-7400
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 108 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100824000652 | OH | Practitioner - Podiatry | 3971627225 | Practice locations: Alliance, OH; Canton, OH; Beloit, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003010 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J Corallo | Past |
Accepting new patients | |
| Marco R. Corallo, D.O., LLC | Past |
Accepting new patients |
Interoperability endpoints
- leslee.ruszkowski.1@2776.direct.athenahealth.com
- https://api.platform.athenahealth.com/2324/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/2325/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36003010 | OH | Yes |
Addresses
Primary practice location
18586 5TH St
Beloit, OH 44609-9799
Mailing address
18586 5TH St
Beloit, OH 44609-9799
Phone (330) 938-3333
Other names
- Leslee Ruszkowski
Other providers in Beloit, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.