Molly S Judge, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36.002877 Issued in OH

Practice address

530 Washington St
Port Clinton, OH 43452-1935

Phone

(419) 732-2618

Fax

(419) 732-1998

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Molly S Judge DPM

  • Foot & Ankle Surgery Podiatrist
  • Port Clinton, OH
  • NPI 1801065545

  O20100930029188

  Same enrollment

Specialty

Podiatry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magruder Hospital Hospital, Port Clinton, OH, CCN 361314

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arrowhead Podiatry Associates Inc.

  • Podiatrist
  • Maumee, OH
  • NPI 1942499504
  NPD (past)
• Erie Neurosurgery & Assoc, Inc

  • Neurological Surgery Physician
  • Sandusky, OH
  • NPI 1275697450
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Ohio Podiatric Physicians and Surgeons Group, LLC

  • Primary Podiatric Medicine Podiatrist
  • Maumee, OH
  • NPI 1508264680

  Foot & Ankle Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• H.B. Magruder Memorial Hospital

  • Critical Access Hospital
  • Port Clinton, OH
  • NPI 1922079532
  Care Compare affiliation

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1740234657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WASHINGTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521935",
            "telephone_number": "419-732-2618",
            "fax_number": "419-732-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WASHINGTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521935",
            "telephone_number": "419-732-2618",
            "fax_number": "419-732-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "MOLLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.002877",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "L834822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OH",
            "identifier": "000000142130",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134887318",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019774",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "4855810540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Lynn Jackson
• Valerie Jackson
• Claudia Jaskulski, LMT
• Danielle Nicole Jones, CDCA
• Laura Jordan, DO
• Stacey Karshuk
• Courtney Kast, D.D.S.
• Kevin R Kast, DDS
• Kay Care LLC
• Richard L Kendall, MD

• Foot & Ankle Surgery Podiatrist in Port Clinton, OH
• Providers in Port Clinton, 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 Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.