Berry Leaf Foot & Ankle Center LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BERRY LEAF FOOT & ANKLE CENTER LTD

Practice address

1660 NW Professional PLZ
Suite K
Columbus, OH 43220-3854

Phone

(614) 457-4774

Fax

(614) 457-4795

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Kathleen M Graytock, DPMNPI 1952355034

Title

Partner

Phone

(614) 457-4774

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Kathleen M Graytock, DPM

  • Podiatrist
  • Columbus, OH
  • NPI 1952355034
  Medicare reassignment NPD Authorized official
• Christopher P George, DPM

  • Podiatrist
  • Mansfield, OH
  • NPI 1023058021
  Medicare reassignment

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508811548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 NW PROFESSIONAL PLZ",
            "address_2": "SUITE K",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203854",
            "telephone_number": "614-457-4774",
            "fax_number": "614-457-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 NW PROFESSIONAL PLZ",
            "address_2": "SUITE K",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203854",
            "telephone_number": "614-457-4774",
            "fax_number": "614-457-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY LEAF FOOT & ANKLE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAYTOCK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "614-457-4774",
        "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": "2236182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Bernot, CNP
• Amie Beros, MOT, OTR/L
• Bryannah Giselle Berreto
• Kristina Berrios
• Jennifer Maryee Berrry, ATC, LAT
• Anita Arnez Berry, LPN
• Claudia Bethune Berry, RN
• Danelle Jeannie Berry
• Gabrielle Nicole Berry, DDS
• Grace Berry, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.