Individual provider Active NPI

Macaira Dyment, D.P.M.

  • Podiatrist
  • Powell, OH
National Provider Identifier
1740475813
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-003549 Issued in OH
Practice address
9759 Fairway Blvd
Powell, OH 43065-6947
Phone
(614) 792-3668
Fax
(614) 792-7615
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-003549 OH Primary

Addresses

Primary practice location

9759 Fairway Blvd
Powell, OH 43065-6947

Mailing address

PO Box 1554
Reynoldsburg, OH 43068-6554
Phone (614) 864-9560

Other identifiers 1

IdentifierTypeStateIssuer
3067229MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000245 OH Practitioner - Podiatry 5193858306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Physicians of Ohio LLCGroup PAC ID 5395002844, 6 clinicians

Practice addresses (Care Compare)

1325 Stringtown Rd
Suite 220
Grove City, OH 43123-9288
Phone (614) 782-3668

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Berger Hospital Hospital, Circleville, OH, CCN 360170
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue190
Removal of skin lesions1-10
Removal of nail tissue223
Removal or shaving of skin growth46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36-003549OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Physicians of Ohio, LLC Podiatrist CurrentSince Nov 1, 2018 Accepting new patients

Locations

1325 Stringtown Rd
Ste 220
Grove City, OH 43123
Phone (614) 782-3668

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1740475813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430686554",
            "telephone_number": "614-864-9560",
            "fax_number": "614-864-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9759 FAIRWAY BLVD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430656947",
            "telephone_number": "614-792-3668",
            "fax_number": "614-792-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYMENT",
        "first_name": "MACAIRA",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-003549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.