Individual provider Active NPI

James Joseph Misocky Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Montgomery, OH
National Provider Identifier
1356037618
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
59.000983 Issued in OH
Practice address
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone
(513) 865-1111
NPI assigned
Apr 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 59.000983 OH Primary

Addresses

Primary practice location

10500 Montgomery Rd
Montgomery, OH 45242-4402

Mailing address

639 Thorn Dr NE
Warren, OH 44484-2063
Phone (330) 978-2727

Other practice location 1

4913 Harroun Rd
Sylvania, OH 43560-2197
Phone (614) 239-9444

Other practice location 2

1414 S Byrne Rd
Toledo, OH 43614-2363
Phone (419) 893-5539

Other practice location 3

3905 W Sylvania Ave
Toledo, OH 43623-4426
Phone (419) 893-5539

Other practice location 4

609 Ford St
Maumee, OH 43537-1947
Phone (419) 893-5539

Other identifiers 1

IdentifierTypeStateIssuer
0018780MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515000629 OH Order and Referring Only - PodiatryPractitioner - Podiatry 5294191425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.000983OHMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1356037618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 THORN DR NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842063",
            "telephone_number": "330-978-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 MONTGOMERY RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424402",
            "telephone_number": "513-865-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4913 Harroun Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602197",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-237-5220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 S Byrne Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142363",
            "country_code": "US",
            "telephone_number": "419-893-5539",
            "fax_number": "419-893-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 W Sylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234426",
            "country_code": "US",
            "telephone_number": "419-893-5539",
            "fax_number": "513-893-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Ford St",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371947",
            "country_code": "US",
            "telephone_number": "419-893-5539",
            "fax_number": "419-893-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISOCKY",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59.000983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.