NPIMap

Organization Active NPI

Ankle and Foot Specialists of Marion, Inc

  • Podiatrist
  • Marion, OH
National Provider Identifier
1285881128
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2003 Issued in OH
Legal business name
ANKLE AND FOOT SPECIALISTS OF MARION, INC
Practice address
1051 Harding Memorial Pkwy
Suite B
Marion, OH 43302-6347
Phone
(740) 383-5115
Fax
(740) 387-3668
NPI assigned
Aug 22, 2008
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Dr. Timothy J Brown, DPMNPI 1649249749
Title
Owner
Phone
(740) 383-5115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2003 OH Primary

Addresses

Primary practice location

1051 Harding Memorial Pkwy
Suite B
Marion, OH 43302-6347

Mailing address

1051 Harding Memorial Pkwy
Suite B
Marion, OH 43302-6347
Phone (740) 383-5115

Other identifiers 1

IdentifierTypeStateIssuer
0481447MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090215000003 OH Part B Supplier - Clinic/Group Practice 9335204924 Receives reassigned benefits from 6 practitioners
Practice locations: Upper Sandusky, OH; Marion, OH
O20100930023397 OH DME Supplier - Physician - Podiatry 9335204924 Practice locations: Marion, OH

National Provider Directory

National Provider Directory

Locations

1051 Harding Memorial Pkwy
Marion, OH 43302
Phone (740) 383-5115

1051 Harding Memorial Pkwy
Ste B
Marion, OH 43302
Phone (740) 383-5115

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAFGDD

Practitioners & affiliated clinicians

Practitioners 6

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": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1285881128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 HARDING MEMORIAL PKWY",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026347",
            "telephone_number": "740-383-5115",
            "fax_number": "740-387-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 HARDING MEMORIAL PKWY",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026347",
            "telephone_number": "740-383-5115",
            "fax_number": "740-387-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT SPECIALISTS OF MARION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-383-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0481447",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.