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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102758 | Medicaid | OH | |
| 5504 | Other | OH | RAILROAD MEDICARE |
| 0008879000 | Medicaid | WV | |
| 001496124-0004 | Medicaid | PA | |
| 001496124-0001 | Medicaid | PA | |
| 001496124-0005 | Medicaid | PA |
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.