Organization Active NPI

Advanced Podiatry Center, Inc.

  • Primary Podiatric Medicine Podiatrist
  • Lorain, OH
National Provider Identifier
1467673145
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
ADVANCED PODIATRY CENTER, INC.
Practice address
4751 Oberlin Ave
Suite 3
Lorain, OH 44053-3401
Phone
(440) 282-1312
Fax
(440) 282-1319
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Jill K Hosking, DPMNPI 1144216672
Title
President
Phone
(440) 282-1312

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
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

4751 Oberlin Ave
Suite 3
Lorain, OH 44053-3401

Mailing address

4751 Oberlin Ave
Suite 3
Lorain, OH 44053-3401
Phone (440) 282-1312

Other identifiers 1

IdentifierTypeStateIssuer
2131491MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100908000157 OH Part B Supplier - Clinic/Group Practice 3779607130 Receives reassigned benefits from 1 practitioner
Practice locations: Lorain, OH

National Provider Directory

National Provider Directory

Locations

4751 Oberlin Ave
Ste 3
Lorain, OH 44053
Phone (440) 282-1312

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1467673145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 OBERLIN AVE",
            "address_2": "SUITE 3",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533401",
            "telephone_number": "440-282-1312",
            "fax_number": "440-282-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 OBERLIN AVE",
            "address_2": "SUITE 3",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533401",
            "telephone_number": "440-282-1312",
            "fax_number": "440-282-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "HOSKING",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-282-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2131491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.