Organization Active NPI

Jackson Foot and Ankle Clinic

  • Podiatrist
  • Jackson, OH
National Provider Identifier
1689636169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1157236 Issued in OH
Legal business name
JACKSON FOOT AND ANKLE CLINIC
Practice address
345 E Main St
Suite C
Jackson, OH 45640-1779
Phone
(740) 288-3668
NPI assigned
Apr 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Earl Lee Driggs, DPM
Title
Co-Owner
Phone
(740) 288-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1157236 OH Primary

Addresses

Primary practice location

345 E Main St
Suite C
Jackson, OH 45640-1779

Mailing address

345 E Main St
Suite C
Jackson, OH 45640-1779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689636169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E MAIN ST",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E MAIN ST",
            "address_2": "SUITE C",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401779",
            "telephone_number": "740-288-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FOOT AND ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRIGGS",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "740-288-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "1157236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, 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.