Active NPI
Austintown Podiatry Associates Inc
- Podiatrist
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-00-3137F
- Legal business name
- AUSTINTOWN PODIATRY ASSOCIATES INC
- Practice address
- 3802 Elm Rd NE
Warren, OH 44483-2600 - Phone
- (330) 372-1500
- Fax
- (330) 372-1502
- NPI assigned
- Dec 18, 2007
- Last updated
- Dec 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Karlock, DPM
- Title
- Ceo
- Phone
- (330) 792-6519
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-00-3137F | OH | Primary |
Addresses
Primary practice location
3802 Elm Rd NE
Warren, OH 44483-2600
Mailing address
3802 Elm Rd NE
Warren, OH 44483-2600
Phone (330) 372-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0835949 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041012000919 | OH | Part B Supplier - Clinic/Group Practice | 4183684418 |
Receives reassigned benefits from 6 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Austintown, OH; Boardman, OH |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Foot & Ankle Surgery Podiatrist
- Austintown, OH
- NPI 1356412142
O20041012000919
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Foot & Ankle Surgery Podiatrist
- Austintown, OH
- NPI 1457341505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1598949273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 ELM RD NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444832600",
"telephone_number": "330-372-1500",
"fax_number": "330-372-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 ELM RD NE",
"city": "WARREN",
"state": "OH",
"postal_code": "444832600",
"telephone_number": "330-372-1500",
"fax_number": "330-372-1502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTINTOWN PODIATRY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A",
"authorized_official_last_name": "KARLOCK",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "330-792-6519",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-00-3137F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0835949",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.