Cornerstone Podiatry LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CORNERSTONE PODIATRY LLC

Practice address

29127 Euclid Ave
Wickliffe, OH 44092-2467

Phone

(216) 731-3370

NPI assigned

Aug 29, 2018

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Ciccero, DPMNPI 1083666036

Title

Owner

Phone

(216) 731-3370

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Tax ID family

Cornerstone Podiatry LLC2 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.

• Cornerstone Podiatry LLC

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1356992598
  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, and the practitioner matching its NPPES authorized official.

• Kimberly Sue Ciccero, DPM

  • Foot & Ankle Surgery Podiatrist
  • Galion, OH
  • NPI 1083666036
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1356823173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29127 EUCLID AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29127 EUCLID AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922467",
            "telephone_number": "216-731-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20455 Lorain Rd",
            "address_purpose": "LOCATION",
            "city": "Fairview Park",
            "state": "OH",
            "postal_code": "441263494",
            "country_code": "US",
            "telephone_number": "440-941-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNERSTONE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "CICCERO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-731-3370",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Wickliffe, OH
• Providers in Wickliffe, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.