Angelo F. Petrolla

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36.001767 Issued in OH

Legal business name

ANGELO F. PETROLLA

Practice address

163 W Main St
Andover, OH 44003-0298

Phone

(440) 293-6765

Fax

(440) 293-6879

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Joanne Schulick

Title

Office Manager

Phone

(330) 793-0566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1295906691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 CANFIELD RD",
            "address_2": "SUITE 7",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112859",
            "telephone_number": "330-793-0566",
            "fax_number": "330-793-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 W MAIN ST",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440030298",
            "telephone_number": "440-293-6765",
            "fax_number": "440-293-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO F. PETROLLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SCHULICK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-793-0566"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.001767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Andover, OH
• Providers in Andover, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.