Barbara Lynn Petkovic, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

36003284 Issued in OH

Practice address

6200 Pleasant Ave
Ste 3
Fairfield, OH 45014-4670

Phone

(513) 829-9333

Fax

(513) 858-7827

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Donahue Foot and Ankle Center Inc.

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, OH
  • NPI 1457371254
  NPD (past)
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)
• Visiting Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Southfield, MI
  • NPI 1295034593
  NPD (past)
• Visiting Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Williamsburg, VA
  • NPI 1730507138
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1508829359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PLEASANT AVE",
            "address_2": "STE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144670",
            "telephone_number": "513-829-9333",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 PLEASANT AVE",
            "address_2": "STE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144670",
            "telephone_number": "513-829-9333",
            "fax_number": "513-858-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETKOVIC",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36003284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2323444",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Personal Touch Home Care of Ohio, Inc.
• Ashley Nicole Pertuset, P.A.
• Agatha Peters
• Brendan Peterson, RPH
• Matthew William Peterson, D.D.S.
• Pharmacare Direct Inc
• Emily Philhower
• Cynthia K. Phillips, LPCC
• Rachel Phillips
• Tabatha Ann Phillips, PHARMD

• Primary Podiatric Medicine Podiatrist in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Primary Podiatric Medicine Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.