NPIMap

Organization Active NPI

Fairlawn Foot & Ankle Clinic Inc

  • Podiatrist
  • Fairlawn, OH
National Provider Identifier
1619189560
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-3216-K Issued in OH
Legal business name
FAIRLAWN FOOT & ANKLE CLINIC INC
Practice address
2640 W Market St
Suite 301
Fairlawn, OH 44333-4202
Phone
(330) 864-8501
NPI assigned
May 4, 2007
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Mrs. Karen S Kellogg, DPMNPI 1316907025
Title
Proprietor
Phone
(330) 836-6670

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36-00-3216-K OH Primary

Addresses

Primary practice location

2640 W Market St
Suite 301
Fairlawn, OH 44333-4202

Mailing address

2640 W Market St
Suite 301
Fairlawn, OH 44333-4202
Phone (330) 864-8501

National Provider Directory

National Provider Directory

Locations

132 Merz Blvd
Fairlawn, OH 44333
Phone (330) 670-9400

2640 W Market St
Ste 301
Fairlawn, OH 44333
Phone (330) 472-6063

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1619189560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W MARKET ST",
            "address_2": "SUITE 301",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334202",
            "telephone_number": "330-864-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W MARKET ST",
            "address_2": "SUITE 301",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334202",
            "telephone_number": "330-864-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAWN FOOT & ANKLE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "330-836-6670",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-3216-K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.