Active NPI
Portage Foot Health, Inc.
- Podiatrist
- Bay Village, OH
National Provider Identifier
1619014040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36001979W
- Legal business name
- PORTAGE FOOT HEALTH, INC.
- Practice address
- 27378 W Oviatt Rd
Bay Village, OH 44140-2139 - Phone
- (440) 871-4700
- NPI assigned
- Feb 1, 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
- Dr. Michael G Warshaw, D.P.M.
- Title
- D.P.M.
- Phone
- (330) 297-7330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36001979W | OH | Primary |
Addresses
Primary practice location
27378 W Oviatt Rd
Bay Village, OH 44140-2139
Mailing address
444 S Meridian St Ste 7
Ravenna, OH 44266-2961
Phone (330) 297-7330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9286321 | Other | OH | GROUP MEDICARE PIN |
| 0473714 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
27378 W Oviatt Rd
Bay Village, OH 44140
Phone (440) 871-4700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- The Villages, FL
- NPI 1023085313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1619014040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 S MERIDIAN ST STE 7",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442662961",
"telephone_number": "330-297-7330",
"fax_number": "330-298-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27378 W OVIATT RD",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441402139",
"telephone_number": "440-871-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTAGE FOOT HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WARSHAW",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "D.P.M.",
"authorized_official_telephone_number": "330-297-7330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OH",
"license": "36001979W",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PIN",
"identifier": "9286321",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0473714",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.