Active NPI
Podiatry Associates of Eastern Oh LLC
- Podiatrist
- Martins Ferry, OH
National Provider Identifier
1700824117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003025G
- Legal business name
- PODIATRY ASSOCIATES OF EASTERN OH LLC
- Practice address
- 222 N 5TH St
Suite 204
Martins Ferry, OH 43935 - Phone
- (740) 633-4180
- Fax
- (740) 633-4395
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melissa Lynne Gaffney, DPM
- Title
- Owner
- Phone
- (740) 633-4180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36003025G | OH | Primary |
Addresses
Primary practice location
222 N 5TH St
Suite 204
Martins Ferry, OH 43935
Mailing address
222 N 5TH St
Suite 204
Martins Ferry, OH 43935
Phone (740) 633-4180
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3025E | Other | UPPER OH VALLEY HLTH PLAN | |
| 001708264 | Other | MOUNTAIN STATE BCBS | |
| 000000140720 | Other | OH | ANTHEM BLUE CROSS SHIELD |
| 2019943 | Medicaid | OH | |
| 4800256391 | Other | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285286400000",
"number": "1700824117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N 5TH ST",
"address_2": "SUITE 204",
"city": "MARTINS FERRY",
"state": "OH",
"postal_code": "43935",
"telephone_number": "740-633-4180",
"fax_number": "740-633-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N 5TH ST",
"address_2": "SUITE 204",
"city": "MARTINS FERRY",
"state": "OH",
"postal_code": "43935",
"telephone_number": "740-633-4180",
"fax_number": "740-633-4395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY ASSOCIATES OF EASTERN OH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2010-09-24",
"status": "A",
"authorized_official_last_name": "GAFFNEY",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-633-4180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OH",
"license": "36003025G",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPPER OH VALLEY HLTH PLAN",
"identifier": "3025E",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BCBS",
"identifier": "001708264",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS SHIELD",
"identifier": "000000140720",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019943",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "4800256391",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martins Ferry, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.