Vincent Cibella, DPM
Individual provider Active NPI Podiatrist · Geneva, OH
NPI 1346243045 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1346243045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 36002567 (OH)
- Practice address
- 810A W Main St
Geneva, OH 44041-1219 - Phone
- (440) 466-6353
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002567 | OH | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36002567 | OH | Yes |
Addresses
Primary practice location
810A W Main St
Geneva, OH 44041-1219
Mailing address
2751 Timberline Dr
Cortland, OH 44410-9275
Phone (440) 466-6353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0773159 | Medicaid | OH | |
| 480008272 | Other | OH | RAILROAD MEDICARE |
Other providers in Geneva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.