Organization Active NPI

Foot Specialists of Greater Cincinnati

  • Foot Surgery Podiatrist
  • Covington, KY
National Provider Identifier
1548545395
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0164 Issued in KY
Legal business name
FOOT SPECIALISTS OF GREATER CINCINNATI
Practice address
1500 James Simpson Jr Way
Suite 302
Covington, KY 41011-0801
Phone
(859) 341-9900
Fax
(859) 341-1649
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Charles M Tirone, DPM
Title
President
Phone
(859) 341-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0131X 0164 KY Primary
Prosthetic/Orthotic Supplier 335E00000X 0164 KY

Addresses

Primary practice location

1500 James Simpson Jr Way
Suite 302
Covington, KY 41011-0801

Mailing address

2865 Chancellor Dr
Suite 205
Crestview Hills, KY 41017-3912
Phone (859) 341-9900

Other identifiers 2

IdentifierTypeStateIssuer
90003757MedicaidKY
80900004MedicaidKY

National Provider Directory

National Provider Directory

Locations

1500 James Simpson Jr Way
Ste 302
Covington, KY 41011
Phone (859) 341-9900

228 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 341-6427

Practitioners & affiliated clinicians

Practitioners 3

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": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1548545395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR",
            "address_2": "SUITE 205",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173912",
            "telephone_number": "859-341-9900",
            "fax_number": "859-341-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 JAMES SIMPSON JR WAY",
            "address_2": "SUITE 302",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410110801",
            "telephone_number": "859-341-9900",
            "fax_number": "859-341-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF GREATER CINCINNATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "TIRONE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-341-9900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "KY",
            "license": "0164",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "0164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003757",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80900004",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.