Organization Active NPI

Associates Family Foot Care, LLC

  • Foot & Ankle Surgery Podiatrist
  • Youngstown, OH
National Provider Identifier
1649315037
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003113R Issued in OH
Legal business name
ASSOCIATES FAMILY FOOT CARE, LLC
Practice address
3200 Belmont Ave
Youngstown, OH 44505-1862
Phone
(330) 759-8690
Fax
(330) 759-3988
NPI assigned
Feb 21, 2007
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Carmelita Ronquillo Reyes, DPM
Title
Managing Member
Phone
(330) 759-8690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36003113R OH Primary

Addresses

Primary practice location

3200 Belmont Ave
Youngstown, OH 44505-1862

Mailing address

PO Box 128
Girard, OH 44420-0128
Phone (330) 759-8690

Other identifiers 1

IdentifierTypeStateIssuer
2302501MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1649315037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444200128",
            "telephone_number": "330-759-8690",
            "fax_number": "330-759-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051862",
            "telephone_number": "330-759-8690",
            "fax_number": "330-759-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FAMILY FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CARMELITA",
        "authorized_official_middle_name": "RONQUILLO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "330-759-8690",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003113R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2302501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.