Active NPI
Ankle and Foot Care Centers
- Podiatrist
- East Palestine, OH
National Provider Identifier
1700827615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- ANKLE AND FOOT CARE CENTERS
- Practice address
- 136 N Market St
East Palestine, OH 44413-2019 - Phone
- (330) 385-2413
- NPI assigned
- Jun 10, 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
- Lawrence Didomenico, DPM
- Title
- DPM
- Phone
- (330) 758-8808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
136 N Market St
East Palestine, OH 44413-2019
Mailing address
136 N Market St
East Palestine, OH 44413-2019
Phone (330) 385-2413
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001496124-0001 | Medicaid | OH | |
| 001496124-0005 | Medicaid | PA | |
| 5504 | Other | OH | RAILROAD MEDICARE |
| 0008879000 | Medicaid | WV | |
| 001496124-0004 | Medicaid | PA | |
| 0102758 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197417600000",
"number": "1700827615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N MARKET ST",
"city": "EAST PALESTINE",
"state": "OH",
"postal_code": "444132019",
"telephone_number": "330-385-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 N MARKET ST",
"city": "EAST PALESTINE",
"state": "OH",
"postal_code": "444132019",
"telephone_number": "330-385-2413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANKLE AND FOOT CARE CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2007-12-12",
"status": "A",
"authorized_official_last_name": "DIDOMENICO",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "330-758-8808",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001496124-0001",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001496124-0005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "5504",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008879000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001496124-0004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102758",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Palestine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.