Individual provider Active NPI

Elizabeth Ann Brown, DPM

  • Foot & Ankle Surgery Podiatrist
  • Blue Ash, OH
National Provider Identifier
1427360635
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36-003655 Issued in OH
Practice address
4260 Glendale Milford Rd
Blue Ash, OH 45242-3763
Phone
(513) 769-4408
Fax
(513) 769-4578
NPI assigned
Jul 6, 2010
Last updated
Sep 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36-003655 OH Primary

Addresses

Primary practice location

4260 Glendale Milford Rd
Blue Ash, OH 45242-3763

Mailing address

4260 Glendale Milford Rd
Blue Ash, OH 45242-3763
Phone (513) 769-4408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130731000382 OH Practitioner - Podiatry 6709027998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry IncGroup PAC ID 6507936671, 16 clinicians

Practice addresses (Care Compare)

1236 Som Ctr Rd
Mayfield Heights, OH 44124-2047
Phone (216) 245-1290

4260 Glendale Milford Rd
Suite 103
Blue Ash, OH 45242-3752
Phone (513) 769-4408

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
85.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue103
Removal or shaving of skin growth63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36-003655OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Copeland DPM Inc Foot & Ankle Surgery CurrentSince Jul 31, 2013 Accepting new patients
Cary Copeland DPM Inc Foot & Ankle Surgery CurrentSince Jul 31, 2013 Accepting new patients

Locations

4260 Glendale Milford Rd
Blue Ash, OH 45242
Phone (513) 769-4408

4260 Glendale Milford Rd
Ste 103
Blue Ash, OH 45242
Phone (513) 769-4408

4010 N Bend Rd
Ste 201
Cincinnati, OH 45211
Phone (513) 451-5709

3731 S Dixie Hwy
Middletown, OH 45005
Phone (513) 423-0672

Interoperability endpoints

  • Direct secure messaging: ebrown@usfas.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1427360635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423763",
            "telephone_number": "513-769-4408",
            "fax_number": "513-769-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423763",
            "telephone_number": "513-769-4408",
            "fax_number": "513-769-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-003655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.