NPIMap

Organization Active NPI

Gentle Footcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Maumee, OH
National Provider Identifier
1295952349
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENTLE FOOTCARE LLC
Practice address
609 Ford Street
Maumee, OH 43537-1947
Phone
(419) 893-5539
Fax
(614) 239-1080
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Jeffrey S Wilson, DPM
Title
Authorized Official
Phone
(614) 239-9444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

609 Ford Street
Maumee, OH 43537-1947

Mailing address

PO Box 27940
Columbus, OH 43227-0940
Phone (614) 239-9444

Other names 1

  • Gentle Foot Care Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000149 OH Part B Supplier - Clinic/Group Practice 0345152955 Receives reassigned benefits from 28 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenton, OH; Youngstown, OH; Warren, OH; Urbana, OH; Sylvania, OH; Newark, OH; Mount Vernon, OH; Marysville, OH…

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

13333 Lorain Ave
Cleveland, OH 44111
Phone (216) 696-6363

1000 E Broad St
Ste 201
Columbus, OH 43205
Phone (614) 252-3636

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1295952349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27940",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432270940",
            "telephone_number": "614-239-9444",
            "fax_number": "614-239-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 FORD STREET",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371947",
            "telephone_number": "419-893-5539",
            "fax_number": "614-239-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FOOTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "614-239-9444",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Foot Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.