Active NPI
Highland Podiatry Associates Inc
- Foot & Ankle Surgery Podiatrist
- Highland HTS, OH
National Provider Identifier
1487836847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36001699C
- Legal business name
- HIGHLAND PODIATRY ASSOCIATES INC
- Practice address
- 850 Brainard Rd
Highland HTS, OH 44143-3146 - Phone
- (440) 473-0550
- Fax
- (440) 473-1266
- NPI assigned
- Nov 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel J Cavolo, DPM
- Title
- Tax Id Owner
- Phone
- (440) 473-0550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36001699C | OH | Primary |
Addresses
Primary practice location
850 Brainard Rd
Highland HTS, OH 44143-3146
Mailing address
850 Brainard Rd
Highland HTS, OH 44143-3146
Phone (440) 473-0550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000166644 | Other | OH | ANTHEM |
| 0305959 | Medicaid | OH | |
| 3206958 | Other | OH | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
850 Brainard Rd
Ste 1
Cleveland, OH 44143
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Highland Heights, OH
- NPI 1174938872
-
- Primary Podiatric Medicine Podiatrist
- Solon, OH
- NPI 1548605264
-
- Podiatrist
- Richmond Heights, OH
- NPI 1194702019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512518400000",
"number": "1487836847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 BRAINARD RD",
"city": "HIGHLAND HTS",
"state": "OH",
"postal_code": "441433146",
"telephone_number": "440-473-0550",
"fax_number": "440-473-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 BRAINARD RD",
"city": "HIGHLAND HTS",
"state": "OH",
"postal_code": "441433146",
"telephone_number": "440-473-0550",
"fax_number": "440-473-1266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND PODIATRY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-28",
"last_updated": "2017-12-06",
"status": "A",
"authorized_official_last_name": "CAVOLO",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "TAX ID OWNER",
"authorized_official_telephone_number": "440-473-0550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36001699C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000166644",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0305959",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3206958",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.