Avon Foot and Ankle Inc.
Organization Active NPI Podiatrist · Avon, OH
NPI 1629263132 · NPPES record last updated Mar 19, 2009
Key facts
- NPI
- 1629263132
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 36002976 (OH)
- Legal business name
- AVON FOOT AND ANKLE INC.
- Practice address
- 37452 Colorado Avenue
Avon, OH 44011-0268 - Phone
- (440) 934-1469
- Fax
- (440) 934-3083
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Richard E Hammond, DPM
- Title
- President
- Phone
- (440) 934-1469
Practitioners 1
-
Richard Eric Hammond, DPM
National Provider Directory
Locations
37190 Colorado Ave
Ste 103
Avon, OH 44011
Phone (440) 934-1469
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 36002976 | OH | Yes |
Addresses
Primary practice location
37452 Colorado Avenue
Avon, OH 44011-0268
Mailing address
PO Box 268
Avon, OH 44011-0268
Phone (440) 934-1469
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136030 | Medicaid | OH | |
| CJ6252 | Other | OH | RAILROAD MEDICARE |
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.