Organization Active NPI

Dpmnunanproh LLC

  • Foot & Ankle Surgery Podiatrist
  • New Boston, OH
National Provider Identifier
1689948598
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36-00-2221 Issued in OH
Legal business name
DPMNUNANPROH LLC
Practice address
4342 Gallia St
Ste.a
New Boston, OH 45662-5562
Phone
(513) 779-9673
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Patrick J Nunan, DPM
Title
Owner
Phone
(513) 779-9673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36-00-2221 OH Primary

Addresses

Primary practice location

4342 Gallia St
Ste.a
New Boston, OH 45662-5562

Mailing address

4342 Gallia St
Ste.a
New Boston, OH 45662-5562
Phone (513) 779-9673

National Provider Directory

National Provider Directory

Locations

4342 Gallia St
Portsmouth, OH 45662
Phone (740) 529-1184

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1689948598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 GALLIA ST",
            "address_2": "STE.A",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625562",
            "telephone_number": "513-779-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 GALLIA ST",
            "address_2": "STE.A",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625562",
            "telephone_number": "513-779-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMNUNANPROH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "NUNAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-779-9673",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-2221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Boston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.