NPIMap

Organization Active NPI

Complete Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Bedford, OH
National Provider Identifier
1467725358
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36001803 Issued in OH
Legal business name
COMPLETE FOOT CARE
Practice address
88 Center Rd
Suite 100
Bedford, OH 44146-2708
Phone
(440) 735-3338
Fax
(440) 735-8234
NPI assigned
Feb 23, 2012
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. Richard Jay Berkowitz, D.P.M.NPI 1831263318
Title
Owner
Phone
(440) 435-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36001803 OH Primary

Addresses

Primary practice location

88 Center Rd
Suite 100
Bedford, OH 44146-2708

Mailing address

88 Center Rd
Suite 100
Bedford, OH 44146-2708
Phone (440) 735-3338

Other identifiers 1

IdentifierTypeStateIssuer
0358849MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Complete Foot Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1467725358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CENTER RD",
            "address_2": "SUITE 100",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462708",
            "telephone_number": "440-735-3338",
            "fax_number": "440-735-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CENTER RD",
            "address_2": "SUITE 100",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462708",
            "telephone_number": "440-735-3338",
            "fax_number": "440-735-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "BERKOWITZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-435-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36001803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0358849",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

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

Verify at the official NPI Registry.