NPIMap

Organization Active NPI

Davis Foot & Ankle Surgery LLC

  • Podiatrist
  • Stow, OH
National Provider Identifier
1700804648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003300D Issued in OH
Legal business name
DAVIS FOOT & ANKLE SURGERY LLC
Practice address
3553 Darrow Rd
Stow, OH 44224-4008
Phone
(330) 688-7764
Fax
(330) 688-7876
NPI assigned
Jul 18, 2006
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
Jeremy F Davis, DPMNPI 1538156062
Title
Owner DPM
Phone
(330) 688-7764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36003300D OH Primary

Addresses

Primary practice location

3553 Darrow Rd
Stow, OH 44224-4008

Mailing address

3553 Darrow Rd
Stow, OH 44224-4008
Phone (330) 688-7764

National Provider Directory

National Provider Directory

Locations

4482 Darrow Rd
Stow, OH 44224
Phone (330) 688-7764

Practitioners & affiliated clinicians

Practitioners 1

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700804648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244008",
            "telephone_number": "330-688-7764",
            "fax_number": "330-688-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244008",
            "telephone_number": "330-688-7764",
            "fax_number": "330-688-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS FOOT & ANKLE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER DPM",
        "authorized_official_telephone_number": "330-688-7764",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003300D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, 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.