Organization Active NPI

Worthington Foot & Ankle, LLC

  • Podiatrist
  • Columbus, OH
National Provider Identifier
1356748313
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003681 Issued in OH
Legal business name
WORTHINGTON FOOT & ANKLE, LLC
Practice address
7620 Olentangy River Rd Ste 100
Columbus, OH 43235-1363
Phone
(614) 905-6342
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Theresa M Fauver
Title
Credentialing Manager
Phone
(440) 357-8418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36.003681 OH Primary

Addresses

Primary practice location

7620 Olentangy River Rd Ste 100
Columbus, OH 43235-1363

Mailing address

37 E Wilson Bridge Rd
Worthington, OH 43085-2354
Phone (614) 905-6342

Other practice location 1

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

Other identifiers 2

IdentifierTypeStateIssuer
1023345956OtherNPI INDIVIDUAL
1962715722OtherNPI INDIVIDUAL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150205001014 OH Part B Supplier - Clinic/Group Practice 6002131471 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, OH
O20150428001875 OH DME Supplier - Physician - Podiatry 6002131471 Practice locations: Columbus, OH

National Provider Directory

National Provider Directory
Tax ID family
Worthington Foot and Ankle2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7620 Olentangy River Rd
Ste 100
Columbus, OH 43235
Phone (614) 885-8895

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10771/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1356748313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E WILSON BRIDGE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852354",
            "telephone_number": "614-905-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 OLENTANGY RIVER RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351363",
            "telephone_number": "614-905-6342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4913 Harroun Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602197",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WORTHINGTON FOOT & ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "FAUVER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "440-357-8418"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1023345956",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1962715722",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.