Huron Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

HURON PODIATRY LLC

Practice address

2320 University Dr E Suite a
Huron, OH 44839-9173

Phone

(419) 433-4800

Fax

(419) 433-4833

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Angela Fraifogl, DPM

Title

Office Manager/Podiatrist

Phone

(419) 433-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Kingston Residence of Vermilion, LLC

  • Assisted Living Facility
  • Vermilion, OH
  • NPI 1851670020

  O20041129000326

  Same enrollment

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIFBBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Nicholas Lesnak, D.P.M.

  • Podiatrist
  • Huron, OH
  • NPI 1659359529

  OH, Podiatrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1487675211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 UNIVERSITY DR E SUITE A",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448399173",
            "telephone_number": "419-433-4800",
            "fax_number": "419-433-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 UNIVERSITY DR E SUITE A",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448399173",
            "telephone_number": "419-433-4800",
            "fax_number": "419-433-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "FRAIFOGL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER/PODIATRIST",
        "authorized_official_telephone_number": "419-433-4800",
        "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": "2522023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Warren Hill, LCDC II
• Judith Nadine Holzaepfel, RPH
• Home Health Services
• Huron City School District
• Huron Health Care Center, Inc.
• Huron Recovery Specialists LLC
• Huron Sports Academy
• Ideal Chiropractic LLC
• J H Marty Ryu DDS, Inc.
• Michele Javorek, PCC

• Podiatrist in Huron, OH
• Providers in Huron, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.