Organization Active NPI

Family Foot & Ankle Center Inc PA

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1497060164
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003377 Issued in OH
Legal business name
FAMILY FOOT & ANKLE CENTER INC PA
Practice address
8474 Winton Rd
Cincinnati, OH 45231-4939
Phone
(513) 728-4800
Fax
(513) 728-4601
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Cynthia D Miller, DPMNPI 1073505608
Title
President
Phone
(513) 728-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 36003377 OH Primary
Durable Medical Equipment & Medical Supplies 332B00000X 36003377 OH

Addresses

Primary practice location

8474 Winton Rd
Cincinnati, OH 45231-4939

Mailing address

8474 Winton Rd
Cincinnati, OH 45231-4939
Phone (513) 728-4800

Other identifiers 3

IdentifierTypeStateIssuer
7100162290MedicaidKY
3081230MedicaidOH
7100449610MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100903000213 OH Part B Supplier - Clinic/Group Practice 0547384133 Receives reassigned benefits from 5 practitioners
Practice locations: Hamilton, OH; Fairfield, OH; Cincinnati, OH
O20110525000482 OH DME Supplier - Physician - General Practice 0547384133 Practice locations: Cincinnati, OH
O20110609000192 KY Part B Supplier - Clinic/Group Practice 0547384133 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, KY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Family Foot Ankle Center I7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

4452 Eastgate Blvd
Ste 106
Cincinnati, OH 45245

5440 Dixie Hwy
Ste G
Fairfield, OH 45014
Phone (513) 829-2161

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1497060164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8474 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314939",
            "telephone_number": "513-728-4800",
            "fax_number": "513-728-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8474 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314939",
            "telephone_number": "513-728-4800",
            "fax_number": "513-728-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT & ANKLE CENTER INC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-728-4800",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003377",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "36003377",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100162290",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081230",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100449610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.