Organization Active NPI

Tri County Foot and Ankle Associates Inc

  • Foot & Ankle Surgery Podiatrist
  • Somerset, OH
National Provider Identifier
1609951482
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003086 Issued in OH
Legal business name
TRI COUNTY FOOT AND ANKLE ASSOCIATES INC
Practice address
301 Dr Mike Clouse Drive
Somerset, OH 43783
Phone
(740) 450-3294
Fax
(740) 450-3295
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mark W Scott, DPM
Title
President
Phone
(740) 450-3294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36003086 OH Primary

Addresses

Primary practice location

301 Dr Mike Clouse Drive
Somerset, OH 43783

Mailing address

3777 James CT
Zanesville, OH 43701-8127
Phone (740) 450-3294

Other identifiers 2

IdentifierTypeStateIssuer
2110236MedicaidOH
2073090MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1609951482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 JAMES CT",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437018127",
            "telephone_number": "740-450-3294",
            "fax_number": "740-450-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DR MIKE CLOUSE DRIVE",
            "city": "SOMERSET",
            "state": "OH",
            "postal_code": "43783",
            "telephone_number": "740-450-3294",
            "fax_number": "740-450-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY FOOT AND ANKLE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-450-3294",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110236",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.