Toledo Foot and Ankle Specialist

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

TOLEDO FOOT AND ANKLE SPECIALIST

Doing business as

Toledo Foot and Ankle Specialist

Practice address

3128 W Sylvania Ave
Toledo, OH 43613-4132

Phone

(419) 471-0079

Fax

(419) 471-0881

NPI assigned

Aug 7, 2023

Last updated

Jan 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abla Soueidan

Title

Manager

Phone

(313) 207-5767

Specialties & licenses 4

Addresses

Other names 1

• TOLEDO FOOT AND ANKLE SPECIALIST Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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.

• Ali N Ali, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dearborn, MI
  • NPI 1538540349

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1508548603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 POTTER DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113607",
            "telephone_number": "313-207-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134132",
            "telephone_number": "419-471-0079",
            "fax_number": "419-471-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO FOOT AND ANKLE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "SOUEIDAN",
        "authorized_official_first_name": "ABLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-207-5767"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOLEDO FOOT AND ANKLE SPECIALIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.