NPIMap

Organization Active NPI

Prestige Foot & Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Medina, OH
National Provider Identifier
1700145372
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003592 Issued in OH
Legal business name
PRESTIGE FOOT & ANKLE CENTER LLC
Practice address
784 Medina Rd
Ste # 107
Medina, OH 44256-9634
Phone
(234) 248-4237
Fax
(330) 723-2188
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Alexandra Strickland
Title
Business Manager
Phone
(330) 242-4808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36003592 OH Primary

Addresses

Primary practice location

784 Medina Rd
Ste # 107
Medina, OH 44256-9634

Mailing address

784 Medina Rd
Ste # 107
Medina, OH 44256-9634
Phone (234) 248-4237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120814000089 OH Part B Supplier - Clinic/Group Practice 5698921229 Receives reassigned benefits from 11 practitioners
Practice locations: Cuyahoga Falls, OH; Hudson, OH; Medina, OH
O20121101000281 OH DME Supplier - Physician - Unknown Physician Specialty 5698921229 Practice locations: Medina, OH

National Provider Directory

National Provider Directory

Locations

784 Medina Rd
Medina, OH 44256

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1700145372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD",
            "address_2": "STE # 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "234-248-4237",
            "fax_number": "330-723-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD",
            "address_2": "STE # 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "234-248-4237",
            "fax_number": "330-723-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE FOOT & ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "330-242-4808"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.