Organization Active NPI

Eric K Schubert, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Dublin, OH
National Provider Identifier
1447430566
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003098S Issued in OH
Legal business name
ERIC K SCHUBERT, DPM, LLC
Practice address
2875 Ravine Way
Dublin, OH 43017-3507
Phone
(614) 395-3517
Fax
(866) 244-0657
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Dr. Eric K Schubert, DPMNPI 1164474011
Title
Eric K Schubert, DPM
Phone
(143) 953-5176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36003098S OH Primary

Addresses

Primary practice location

2875 Ravine Way
Dublin, OH 43017-3507

Mailing address

2875 Ravine Way
Dublin, OH 43017-3507
Phone (143) 953-5176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624001238 OH Part B Supplier - Clinic/Group Practice 6204812993 Receives reassigned benefits from 1 practitioner
Practice locations: Johnstown, OH

National Provider Directory

National Provider Directory

Locations

500 S Cleveland Ave
Ste 203
Westerville, OH 43081
Phone (614) 898-4346

Practitioners & affiliated clinicians

Practitioners 1

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1447430566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 RAVINE WAY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173507",
            "telephone_number": "143-953-5176",
            "fax_number": "866-244-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 RAVINE WAY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173507",
            "telephone_number": "614-395-3517",
            "fax_number": "866-244-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC K SCHUBERT, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "SCHUBERT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ERIC K SCHUBERT, DPM",
        "authorized_official_telephone_number": "143-953-5176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003098S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.