Midwest Foot and Ankle Clinic LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIDWEST FOOT AND ANKLE CLINIC LLC

Practice address

121 Westfield Dr
Archbold, OH 43502-1056

Phone

(419) 799-1180

NPI assigned

Nov 11, 2021

Organization subpart

No

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

Authorized official

Name

Nitie I SroaNPI 1215236864

Title

DPM

Phone

(419) 799-1180

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Midwest Foot and Ankle Clinic LLC

  • Podiatrist
  • Archbold, OH
  • NPI 1265014286

  6709289275

  Same PAC ID

Tax ID family

Midwest Foot and Ankle Clinic LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Midwest Foot and Ankle Clinic LLC

  • Podiatrist
  • Archbold, OH
  • NPI 1265014286
  NPD tax ID
• Midwest Foot and Ankle Clinic LLC

  • Podiatrist
  • Hicksville, OH
  • NPI 1376211839
  NPD tax ID
• Midwest Foot and Ankle Clinic LLC

  • Durable Medical Equipment & Medical Supplies
  • Paulding, OH
  • NPI 1386399004
  NPD tax ID
• Midwest Foot and Ankle Clinic LLC

  • Durable Medical Equipment & Medical Supplies
  • Hicksville, OH
  • NPI 1528734035
  NPD tax ID

Locations

Practitioners 1

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

• Nitie I Sroa, D.P.M.

  • Podiatrist
  • Hicksville, OH
  • NPI 1215236864
  NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1346906609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLUMBUS ST STE 200",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261250",
            "telephone_number": "419-799-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WESTFIELD DR",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435021056",
            "telephone_number": "419-799-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FOOT AND ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "SROA",
        "authorized_official_first_name": "NITIE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "419-799-1180"
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300051280",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Lyn McClarren, BA, MA, LPC, NCC
• Kayla Lynn McCoy, M.A.
• April McKenzie, LSW
• Kori McQuillin, COTA/L
• Midwest Foot and Ankle Clinic LLC
• Midwest RX Group LLC
• Andrea Marie Miller, R.D., L.D.
• Ronald E Music, M.D.
• Sara Jo Nadolny, ED. S
• Nafziger Family Chiropractic Inc

• Durable Medical Equipment & Medical Supplies in Archbold, OH
• Providers in Archbold, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.