Ankle and Foot Care Centers

Organization Active NPI Podiatrist · East Liverpool, OH

NPI 1477595874 · NPPES record last updated Dec 12, 2007

Key facts

NPI
1477595874
Entity type
Organization (NPI type 2)
Primary specialty
Podiatrist 213E00000X
Legal business name
ANKLE AND FOOT CARE CENTERS
Practice address
16844 Saint Clair Ave
East Liverpool, OH 43920-4277
Phone
(330) 385-2413
NPI assigned
Jun 11, 2006
Organization subpart
No

Authorized official

Name
Lawrence Didomenico, DPM
Title
DPM
Phone
(330) 758-8808

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213E00000X Yes

Addresses

Primary practice location

16844 Saint Clair Ave
East Liverpool, OH 43920-4277

Mailing address

16844 Saint Clair Ave
East Liverpool, OH 43920-4277
Phone (330) 385-2413

Other identifiers

IdentifierTypeStateIssuer
0102758MedicaidOH
5504OtherOHRAILROAD MEDICARE
0008879000MedicaidWV
001496124-0004MedicaidPA
001496124-0001MedicaidPA
001496124-0005MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2007.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1477595874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16844 SAINT CLAIR AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439204277",
            "telephone_number": "330-385-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16844 SAINT CLAIR AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439204277",
            "telephone_number": "330-385-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "DIDOMENICO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "330-758-8808",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102758",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "5504",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008879000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001496124-0004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001496124-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001496124-0005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

All providers in East Liverpool, OH · Podiatrist in Ohio

Sources for this page

Verify at the official NPI Registry.