Ksu Foot & Ankle Clinic

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

KSU FOOT & ANKLE CLINIC

Doing business as

Cleveland Foot & Ankle Clinic

Practice address

7000 Euclid Ave
Cleveland, OH 44103-4014

Phone

(216) 231-5612

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Richard Dibacco, DPM

Title

Director

Phone

(814) 474-7499

Specialties & licenses 1

Addresses

Other names 1

• Cleveland Foot & Ankle Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Dewitt Caldwell, DPM

  • Podiatrist
  • Cleveland, OH
  • NPI 1366448680
  NPD
• Scott Alan Spencer, D.P.M.

  • Podiatrist
  • Cleveland, OH
  • NPI 1770589004
  NPD

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1730441254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034014",
            "telephone_number": "216-231-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034014",
            "telephone_number": "216-231-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSU FOOT & ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "DIBACCO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "814-474-7499",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Kathryn Krzan, L.P.C.
• Jennifer L Krzynowek, LSW
• Mark C Krzysiak, LSW
• Suchetha Sastry Kshettry, MD
• Varun Ranjan Kshettry, MD
• Evan Ku
• Ying Ku, DO
• Kara Kubalski, PA-C
• Barry Dean Kuban
• Austin Kubat

• Podiatrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.