Organization Active NPI

Premier Podiatry

  • Foot Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1316267693
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
3609903368 Issued in OH
Legal business name
PREMIER PODIATRY
Practice address
1930 Crown Park CT
Suite 120
Columbus, OH 43235-2402
Phone
(614) 457-3212
Fax
(614) 457-4052
NPI assigned
Jun 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Mrs. Dena Merriman, D.P.M
Title
Owner
Phone
(614) 457-3212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 3609903368 OH Primary

Addresses

Primary practice location

1930 Crown Park CT
Suite 120
Columbus, OH 43235-2402

Mailing address

1930 Crown Park CT
Suite 120
Columbus, OH 43235-2402
Phone (614) 457-3212

National Provider Directory

National Provider Directory

Locations

1930 Crown Park Ct
Ste 120
Columbus, OH 43235
Phone (614) 451-2244

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1316267693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 CROWN PARK CT",
            "address_2": "SUITE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432352402",
            "telephone_number": "614-457-3212",
            "fax_number": "614-457-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 CROWN PARK CT",
            "address_2": "SUITE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432352402",
            "telephone_number": "614-457-3212",
            "fax_number": "614-457-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-457-3212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "3609903368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.