Organization Active NPI

Eric D Trattner DPM

Doing business as Twinsburg Foot Care

  • Podiatrist
  • Twinsburg, OH
National Provider Identifier
1588928766
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002488 Issued in OH
Legal business name
ERIC D TRATTNER DPM
Doing business as
Twinsburg Foot Care
Practice address
8900 Darrow Rd
H 110
Twinsburg, OH 44087-6800
Phone
(330) 405-3301
Fax
(330) 405-3315
NPI assigned
Jul 2, 2012
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Eric D Trattner, D.P.M.NPI 1649242629
Title
Owner
Phone
(330) 405-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002488 OH Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

8900 Darrow Rd
H 110
Twinsburg, OH 44087-6800

Mailing address

Post Office Box 39662
Cleveland, OH 44139-0662
Phone (330) 405-3301

Other identifiers 3

IdentifierTypeStateIssuer
0706785MedicaidOH
SP04441OtherOHMEDICARE PTAN
SP04442OtherOHMEDICARE PTAN

Other names 1

  • Twinsburg Foot Care Doing business as

National Provider Directory

National Provider Directory

Locations

8900 Darrow Rd
Ste H110
Twinsburg, OH 44087
Phone (330) 405-3301

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1588928766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 39662",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441390662",
            "telephone_number": "330-405-3301",
            "fax_number": "330-405-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 DARROW RD",
            "address_2": "H 110",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440876800",
            "telephone_number": "330-405-3301",
            "fax_number": "330-405-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D TRATTNER DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "TRATTNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-405-3301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002488",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0706785",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "SP04441",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "SP04442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twinsburg Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.