Associates Family Foot Care, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36003113R Issued in OH

Legal business name

ASSOCIATES FAMILY FOOT CARE, LLC

Practice address

32 Jacobs Rd
Youngstown, OH 44505-4908

Phone

(330) 746-7660

Fax

(330) 759-3988

NPI assigned

Jul 28, 2006

Last updated

Mar 21, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carmelita R Reyes, D.P.M.NPI 1770579724

Title

Podiatrist/Surgeon

Phone

(330) 746-7660

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Associates Family Foot Care, LLC

  • Foot & Ankle Surgery Podiatrist
  • Cortland, OH
  • NPI 1760527154

  O20040609000116

  Same enrollment

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmelita R Reyes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Youngstown, OH
  • NPI 1770579724
  Medicare reassignment Care Compare group NPD Authorized official
• Vern Michael Chuba, DPM

  • Foot & Ankle Surgery Podiatrist
  • Youngstown, OH
  • NPI 1891780599
  Medicare reassignment Care Compare group NPD
• Darleen Abadco, DPM

  • Foot & Ankle Surgery Podiatrist
  • Austintown, OH
  • NPI 1902105604
  Medicare reassignment Care Compare group
• Philip A Starr III, DO

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1720075971
  NPD (past)
• Vivian I Starr, DO

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1851389282
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1720092182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444200128",
            "telephone_number": "330-746-7660",
            "fax_number": "330-746-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 JACOBS RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445054908",
            "telephone_number": "330-746-7660",
            "fax_number": "330-759-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FAMILY FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CARMELITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PODIATRIST/SURGEON",
        "authorized_official_telephone_number": "330-746-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003113R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2302501",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2302547",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2453876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.