Organization Active NPI

Podiatry Associates of Eastern Oh LLC

  • Podiatrist
  • Martins Ferry, OH
National Provider Identifier
1700824117
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003025G Issued in OH
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

Updated by the provider on Sep 24, 2010

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3025EOtherUPPER OH VALLEY HLTH PLAN
001708264OtherMOUNTAIN STATE BCBS
000000140720OtherOHANTHEM BLUE CROSS SHIELD
2019943MedicaidOH
4800256391OtherMEDICARE RAILROAD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.