Organization Active NPI

Southern Ohio Foot and Ankle Associates Inc

  • Podiatrist
  • Chillicothe, OH
National Provider Identifier
1447301262
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002135B Issued in OH
Legal business name
SOUTHERN OHIO FOOT AND ANKLE ASSOCIATES INC
Practice address
1130 Western Ave
Chillicothe, OH 45601-1174
Phone
(740) 775-7800
Fax
(740) 773-8545
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Mr. John Frances Boyle, DPM
Title
Owner
Phone
(740) 775-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36002135B OH Primary

Addresses

Primary practice location

1130 Western Ave
Chillicothe, OH 45601-1174

Mailing address

1130 Western Ave
Chillicothe, OH 45601-1174
Phone (740) 775-7800

Other identifiers 1

IdentifierTypeStateIssuer
2415032MedicaidOH

National Provider Directory

National Provider Directory

Locations

1130 Western Ave
Chillicothe, OH 45601
Phone (740) 775-7800

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1447301262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011174",
            "telephone_number": "740-775-7800",
            "fax_number": "740-773-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WESTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011174",
            "telephone_number": "740-775-7800",
            "fax_number": "740-773-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO FOOT AND ANKLE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-775-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002135B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2415032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.