Organization Active NPI

A Plus Family Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Kent, OH
National Provider Identifier
1497850143
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
A PLUS FAMILY FOOT AND ANKLE CENTER
Practice address
1221 S. Water Street
Suite a
Kent, OH 44240
Phone
(330) 474-0500
Fax
(330) 474-0501
NPI assigned
Sep 14, 2006
Last updated
Sep 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Dr. Hai T Pham, DPMNPI 1659359768
Title
Owner
Phone
(330) 474-0500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1221 S. Water Street
Suite a
Kent, OH 44240

Mailing address

1221 S. Water Street
Suite a
Kent, OH 44240
Phone (330) 474-0500

Other identifiers 1

IdentifierTypeStateIssuer
2415470MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051207001071 OH Part B Supplier - Clinic/Group Practice 0345261210 Receives reassigned benefits from 2 practitioners
Practice locations: Kent, OH
O20100930044005 OH DME Supplier - Physician - Podiatry 0345261210 Practice locations: Kent, OH

National Provider Directory

National Provider Directory

Locations

1221 S Water St
Ste A
Kent, OH 44240
Phone (330) 474-0500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1497850143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S. WATER STREET",
            "address_2": "SUITE A",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "330-474-0500",
            "fax_number": "330-474-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S. WATER STREET",
            "address_2": "SUITE A",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "330-474-0500",
            "fax_number": "330-474-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLUS FAMILY FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-474-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2415470",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.