Cleveland Foot and Ankle Clinic

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

CLEVELAND FOOT AND ANKLE CLINIC

Practice address

4415 Euclid Ave Ste 110
Cleveland, OH 44103-3757

Phone

(216) 231-5612

Fax

(216) 721-5534

NPI assigned

Mar 22, 2007

Last updated

Jun 13, 2011By 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

Dr. Thomas V Melillo, DPM

Title

President

Phone

(216) 231-3300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cleveland Foot and Ankle Institute Other name

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1578689451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 EUCLID AVE STE 110",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033757",
            "telephone_number": "216-231-5612",
            "fax_number": "216-721-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 EUCLID AVE STE 110",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033757",
            "telephone_number": "216-231-5612",
            "fax_number": "216-721-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND FOOT AND ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "MELILLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-231-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CH5179",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1563848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Foot and Ankle Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cleveland Diagnostics, Inc.
• Cleveland Eastside Ex-Offender Coalition
• Cleveland Embodiment Collective, LLC
• Cleveland Entrepreneurship Preparatory School
• Cleveland Foot and Ankle Clinic
• Cleveland Health Management Inc
• Cleveland Healthcare Group, Inc (The Center for Clinical Care)
• Cleveland Hearing and Speech Center
• Cleveland Hearing and Speech Center
• Cleveland Hearing and Speech Center

• Podiatric Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Podiatric Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.