Active NPI
Premier Podiatry
- Foot Surgery Podiatrist
- Columbus, OH
National Provider Identifier
1316267693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 3609903368
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 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 DirectoryLocations
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.