Organization Active NPI

Peformance Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Powell, OH
National Provider Identifier
1316720873
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PEFORMANCE PODIATRY
Practice address
4010 N Hampton Dr
Powell, OH 43065-8431
Phone
(614) 407-3171
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Kristin Thomas, DPMNPI 1467713362
Title
Owner
Phone
(614) 407-3171

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

4010 N Hampton Dr
Powell, OH 43065-8431

Mailing address

4010 N Hampton Dr
Powell, OH 43065-8431
Phone (614) 407-3171

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231027003312 OH Part B Supplier - Clinic/Group Practice 1951757806 Receives reassigned benefits from 2 practitioners
Practice locations: Powell, OH
O20250513000518 OH DME Supplier - Physician - Podiatry 1951757806 Practice locations: Powell, OH

National Provider Directory

National Provider Directory

Locations

4010 N Hampton Dr
Powell, OH 43065
Phone (614) 407-3171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1316720873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 N HAMPTON DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658431",
            "telephone_number": "614-407-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N HAMPTON DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658431",
            "telephone_number": "614-407-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEFORMANCE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-407-3171",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.