Organization Active NPI

Kinsman Foot & Ankle Center Inc.

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
National Provider Identifier
1457553935
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
36003361-L Issued in OH
Legal business name
KINSMAN FOOT & ANKLE CENTER INC.
Practice address
11602 Kinsman Rd
Cleveland, OH 44120-4318
Phone
(216) 283-2800
Fax
(216) 283-1324
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Sai LeeNPI 1548222888
Title
Podiatristsupplier
Phone
(216) 283-2800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 36003361-L OH Primary
Durable Medical Equipment & Medical Supplies 332B00000X 36003302 OH

Addresses

Primary practice location

11602 Kinsman Rd
Cleveland, OH 44120-4318

Mailing address

11602 Kinsman Rd
Cleveland, OH 44120-4318

Other identifiers 1

IdentifierTypeStateIssuer
P00464561OtherOHRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930023889 OH DME Supplier - Physician - Podiatry 2365461746 1 other NPI on this enrollment
Practice locations: Cleveland, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

11602 Kinsman Rd
Cleveland, OH 44120
Phone (216) 283-2800

Practitioners & affiliated clinicians

Practitioners 2

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1457553935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 KINSMAN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 KINSMAN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204318",
            "telephone_number": "216-283-2800",
            "fax_number": "216-283-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSMAN FOOT & ANKLE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SAI",
        "authorized_official_title_or_position": "PODIATRISTSUPPLIER",
        "authorized_official_telephone_number": "216-283-2800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "36003361-L",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "36003302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00464561",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.