Active NPI
Paul Cwikla, DPM
- Podiatrist
- Portsmouth, OH
National Provider Identifier
1699778571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36002581
- Practice address
- 1605 E 11TH St
Portsmouth, OH 45662 - Phone
- (740) 354-3883
- Fax
- (740) 354-0447
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36002581 | OH | Primary |
Addresses
Primary practice location
1605 E 11TH St
Portsmouth, OH 45662
Mailing address
1605 11TH St
Portsmouth, OH 45662-4525
Phone (740) 354-3883
Other practice location 1
1605 11th St
Portsmouth, OH 45662-4525
Phone (740) 354-3883
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80540222 | Medicaid | KY | |
| 0967039 | Medicaid | OH | |
| 480031674 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080117000221 | OH | Practitioner - Podiatry | 7517048440 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2851 | OH | MD | Chiropractor |
| 36002581 | OH | MD | Podiatrist |
Interoperability endpoints
- paul.cwikla@somc.medicity.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1699778571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 11TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624525",
"telephone_number": "740-354-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 E 11TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "45662",
"telephone_number": "740-354-3883",
"fax_number": "740-354-0447"
}
],
"practiceLocations": [
{
"address_1": "1605 11th St",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "OH",
"postal_code": "456624525",
"country_code": "US",
"telephone_number": "740-354-3883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CWIKLA",
"first_name": "PAUL",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36002581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80540222",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0967039",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480031674",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.