University Foot Center Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002797 Issued in OH

Legal business name

UNIVERSITY FOOT CENTER INC

Practice address

1208 W 5TH Ave
Columbus, OH 43212-2501

Phone

(614) 488-9478

Fax

(614) 488-4836

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Steventon S Wagner

Title

Owner/DPM

Phone

(614) 488-9478

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15207/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1396935425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122501",
            "telephone_number": "614-488-9478",
            "fax_number": "614-488-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122501",
            "telephone_number": "614-488-9478",
            "fax_number": "614-488-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY FOOT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "STEVENTON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DPM",
        "authorized_official_telephone_number": "614-488-9478"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412119",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3159",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.