Organization Active NPI

Shoe Horn Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Akron, OH
National Provider Identifier
1730258377
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
LPED 144 TEMP Issued in OH
Legal business name
SHOE HORN INCORPORATED
Practice address
1115 E Tallmadge Ave
Akron, OH 44310-3517
Phone
(330) 630-2873
Fax
(330) 630-2878
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Mr. Anthony Sgro, C.PED
Title
Owner Certified Pedorthist
Phone
(330) 630-2873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LPED 144 TEMP OH Primary

Addresses

Primary practice location

1115 E Tallmadge Ave
Akron, OH 44310-3517

Mailing address

1115 E Tallmadge Ave
Akron, OH 44310-3517
Phone (330) 630-2873

Other identifiers 1

IdentifierTypeStateIssuer
2598185MedicaidOH

National Provider Directory

National Provider Directory

Locations

1115 E Tallmadge Ave
Akron, OH 44310
Phone (330) 630-2873

2410 State Rd
Cuyahoga Falls, OH 44223
Phone (330) 630-2873

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1730258377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E TALLMADGE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103517",
            "telephone_number": "330-630-2873",
            "fax_number": "330-630-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E TALLMADGE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103517",
            "telephone_number": "330-630-2873",
            "fax_number": "330-630-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE HORN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "SGRO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER CERTIFIED PEDORTHIST",
        "authorized_official_telephone_number": "330-630-2873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "LPED 144 TEMP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2598185",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.