Organization Active NPI

Portage Foot Health, Inc.

  • Podiatrist
  • Bay Village, OH
National Provider Identifier
1619014040
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36001979W Issued in OH
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

Updated by the provider on Aug 22, 2020

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.NPI 1023085313
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9286321OtherOHGROUP MEDICARE PIN
0473714MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.