Organization Active NPI

Kenneth L Abram

  • Foot & Ankle Surgery Podiatrist
  • Newark, OH
National Provider Identifier
1396835799
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KENNETH L ABRAM
Practice address
843 N 21St St Ste 107
Newark, OH 43055-2954
Phone
(740) 366-3316
Fax
(740) 366-0002
NPI assigned
Oct 14, 2006
Last updated
Jul 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Kenneth Abram, DPM
Title
Owner Podiatrist
Phone
(740) 366-3316

Specialties & licenses 1

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

Addresses

Primary practice location

843 N 21St St Ste 107
Newark, OH 43055-2954

Mailing address

843 N 21St St Ste 107
Newark, OH 43055-2954
Phone (740) 366-3316

Other identifiers 1

IdentifierTypeStateIssuer
4685720002OtherOHDME- NEWARK OFFICE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1396835799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 N 21ST ST STE 107",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552954",
            "telephone_number": "740-366-3316",
            "fax_number": "740-366-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 N 21ST ST STE 107",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552954",
            "telephone_number": "740-366-3316",
            "fax_number": "740-366-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L ABRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "ABRAM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER PODIATRIST",
        "authorized_official_telephone_number": "740-366-3316",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME- NEWARK OFFICE",
            "identifier": "4685720002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.