Foot and Ankle Institute, Inc
Organization Active NPI Podiatrist · Doylestown, OH
NPI 1720153273 · NPPES record last updated Feb 20, 2008
Key facts
- NPI
- 1720153273
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 36-002891 (OH)
- Legal business name
- FOOT AND ANKLE INSTITUTE, INC
- Practice address
- 400 Collier Dr
Unit C
Doylestown, OH 44230-9757 - Phone
- (330) 658-2083
- Fax
- (330) 658-3387
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jon Oliverio, DPM
- Title
- Owner
- Phone
- (330) 658-2083
Other NPIs on the same Medicare enrollment 2
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070420000177 | OH | Part B Supplier - Clinic/Group Practice | 3678678596 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Philadelphia, OH; Norton, OH |
National Provider Directory
Locations
400 Collier Dr
Unit C
Doylestown, OH 44230
Phone (330) 658-2083
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 36-002891 | OH | Yes |
| Physical Therapist |
225100000X | 36-002891 | OH | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 36-002891 | OH |
Addresses
Primary practice location
400 Collier Dr
Unit C
Doylestown, OH 44230-9757
Mailing address
PO Box 268
Doylestown, OH 44230-0268
Phone (330) 658-2083
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2755728 | Medicaid | OH |
Other providers in Doylestown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.