NPIMap

Organization Active NPI

Austintown Podiatry Associates Inc

  • Foot & Ankle Surgery Podiatrist
  • Austintown, OH
National Provider Identifier
1356412142
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3600-2881 Issued in OH
Legal business name
AUSTINTOWN PODIATRY ASSOCIATES INC
Practice address
1300 S Canfield Niles Rd
Austintown, OH 44515-4081
Phone
(330) 792-6519
Fax
(330) 792-9911
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Larry G Karlock, DPM
Title
President
Phone
(330) 792-6519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 3600-2881 OH Primary

Addresses

Primary practice location

1300 S Canfield Niles Rd
Austintown, OH 44515-4081

Mailing address

1300 S Canfield Niles Rd
Austintown, OH 44515-4081
Phone (330) 792-6519

Other identifiers 2

IdentifierTypeStateIssuer
1953345OtherPAHIGHMARK BCBS PA
0835949MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041012000919 OH Part B Supplier - Clinic/Group Practice 4183684418 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
Practice locations: Austintown, OH; Boardman, OH
O20050421000983 PA Part B Supplier - Clinic/Group Practice 4183684418 Receives reassigned benefits from 1 practitioner
Practice locations: Villa Maria, PA
O20100930091742 OH DME Supplier - Physician - Podiatry 4183684418 Practice locations: Austintown, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Austintown Podiatry Ass2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1300 S Canfield Niles Rd
Ste 1
Youngstown, OH 44515
Phone (330) 792-6519

Practitioners & affiliated clinicians

Practitioners 8

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1356412142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154081",
            "telephone_number": "330-792-6519",
            "fax_number": "330-792-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154081",
            "telephone_number": "330-792-6519",
            "fax_number": "330-792-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTINTOWN PODIATRY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "KARLOCK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-792-6519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "3600-2881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS PA",
            "identifier": "1953345",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0835949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.