Rick Patrick Pidala, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36001964 Issued in OH

Practice address

890 Broadway
Bedford, OH 44146-3612

Phone

(440) 439-8282

Fax

(440) 439-7863

NPI assigned

Aug 18, 2006

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rick Pidala

  • Podiatrist
  • Bedford, OH
  • NPI 1629256862
  Authorized official Same address or phone

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1427162221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BROADWAY",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441463612",
            "telephone_number": "440-439-8282",
            "fax_number": "440-439-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 BROADWAY",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441463612",
            "telephone_number": "440-439-8282",
            "fax_number": "440-439-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDALA",
        "first_name": "RICK",
        "middle_name": "PATRICK",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Pawlak, M.S., CCC-SLP
• Perfect Placement Behavioral Health LLC
• Seneca Perry
• Peter James Behavioral Health, Inc.
• India Phillips
• Latha R Pillai, MD
• Pneuma Life Foundation
• Tina L Posey, PT
• Nefferteria Pratt
• Peter J Pruitt III

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.