Organization Active NPI

Ankle and Foot Care Centers

  • Podiatrist
  • East Palestine, OH
National Provider Identifier
1700827615
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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

Updated by the provider on Dec 12, 2007

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
001496124-0001MedicaidOH
001496124-0005MedicaidPA
5504OtherOHRAILROAD MEDICARE
0008879000MedicaidWV
001496124-0004MedicaidPA
0102758MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.