Active NPI
Charlene Roberta Krejci-Simmons, DPM
- Foot Surgery Podiatrist
- Aurora, OH
National Provider Identifier
1437420486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 36.001993
- Practice address
- 945 Lake Ave
Aurora, OH 44202-8712 - Phone
- (330) 995-0218
- Fax
- (330) 995-0218
- NPI assigned
- Jan 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 36.001993 | OH | Primary |
Addresses
Primary practice location
945 Lake Ave
Aurora, OH 44202-8712
Mailing address
945 Lake Ave
Aurora, OH 44202-8712
Phone (330) 995-0218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36.001993 | OH | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1437420486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 LAKE AVE",
"city": "AURORA",
"state": "OH",
"postal_code": "442028712",
"telephone_number": "330-995-0218",
"fax_number": "330-995-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 LAKE AVE",
"city": "AURORA",
"state": "OH",
"postal_code": "442028712",
"telephone_number": "330-995-0218",
"fax_number": "330-995-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREJCI-SIMMONS",
"first_name": "CHARLENE",
"middle_name": "ROBERTA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "OH",
"license": "36.001993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.