Active NPI
Associates Family Foot Care, LLC
- Foot & Ankle Surgery Podiatrist
- Youngstown, OH
National Provider Identifier
1649315037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36003113R
- 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, 2012
- 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
- Carmelita Ronquillo Reyes, DPM
- Title
- Managing Member
- Phone
- (330) 759-8690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2302501 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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
- Domonique Askew-Douglas
- Zunera Aslam
- Miles Paul Assion, LPN
- Assisting the Forgotten LLC
- Associated Psychiatrists Inc
- Associates Family Foot Care, LLC
- Associates in Anesthesiology, Inc
- Associates in Counseling Services
- Associates in Women's Health of the Mahoning Valley, Inc
- Asthma and Allergy Center LTD.
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.