Active NPI
Western Ohio Podiatric Medical Center Inc
- Podiatrist
- Greenville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- WESTERN OHIO PODIATRIC MEDICAL CENTER INC
- Practice address
- 415 W Russ Rd
Greenville, OH 45331-2457 - Phone
- (937) 548-1244
- Fax
- (934) 548-8898
- NPI assigned
- Sep 25, 2006
- Last updated
- Nov 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Robert Maher, DPM
- Title
- Owner
- Phone
- (937) 548-1244
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
415 W Russ Rd
Greenville, OH 45331-2457
Mailing address
415 W Russ Rd
Greenville, OH 45331-2457
Phone (937) 548-1244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2413374 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
415 W Russ Rd
Greenville, OH 45331
Phone (937) 548-1224
5162 Childrens Home Rd
Greenville, OH 45331
Phone (937) 316-8155
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/89qRxg50XNEvJ1rMzQ6E1GUFVYLjKcWl/
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Podiatrist
- Greenville, OH
- NPI 1386960870
-
- Podiatrist
- Greenville, OH
- NPI 1174902076
-
- Physician Assistant
- Saint Henry, OH
- NPI 1548756836
-
- Podiatrist
- Greenville, OH
- NPI 1417959347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447027200000",
"number": "1376643411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W RUSS RD",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453312457",
"telephone_number": "937-548-1244",
"fax_number": "934-548-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W RUSS RD",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453312457",
"telephone_number": "937-548-1244",
"fax_number": "934-548-8898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN OHIO PODIATRIC MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2015-11-09",
"status": "A",
"authorized_official_last_name": "MAHER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-548-1244",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2413374",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.