Organization Active NPI

Daniel C. Duffy, DPM, Inc

  • Foot & Ankle Surgery Podiatrist
  • Elyria, OH
National Provider Identifier
1598946832
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36-00-1892D Issued in OH
Legal business name
DANIEL C. DUFFY, DPM, INC
Practice address
445 Griswold Rd
Elyria, OH 44035-2304
Phone
(440) 282-1221
Fax
(440) 960-0010
NPI assigned
Nov 15, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Maryjo Duffy
Title
Office Manager
Phone
(440) 282-1221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36-00-1892D OH Primary

Addresses

Primary practice location

445 Griswold Rd
Elyria, OH 44035-2304

Mailing address

1740 Cooper Foster Park Rd W
Lorain, OH 44053-4201
Phone (440) 282-1221

Other identifiers 3

IdentifierTypeStateIssuer
0195006MedicaidOH
0449447MedicaidOH
0393659MedicaidOH

National Provider Directory

National Provider Directory

Locations

445 Griswold Rd
Elyria, OH 44035
Phone (440) 282-1221

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1598946832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 COOPER FOSTER PARK RD W",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534201",
            "telephone_number": "440-282-1221",
            "fax_number": "440-960-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 GRISWOLD RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352304",
            "telephone_number": "440-282-1221",
            "fax_number": "440-960-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL C. DUFFY, DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "MARYJO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-282-1221"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-1892D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195006",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449447",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0393659",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.