NPIMap

Organization Active NPI

Providercare LLC

  • Foot Surgery Podiatrist
  • Beachwood, OH
National Provider Identifier
1740736818
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
36003471 Issued in OH
Legal business name
PROVIDERCARE LLC
Practice address
23250 Chagrin Blvd Ste 150
Beachwood, OH 44122-5417
Phone
(216) 402-0027
Fax
(330) 574-1050
NPI assigned
Aug 29, 2016
Last updated
Apr 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Marc A Berkowitz, DPM
Title
Podiatrist
Phone
(216) 392-4290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 347002808C OH
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X 36003471 OH Primary

Addresses

Primary practice location

23250 Chagrin Blvd Ste 150
Beachwood, OH 44122-5417

Mailing address

23250 Chagrin Blvd Ste 150
Beachwood, OH 44122-5417
Phone (216) 402-0027

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgallo@woundcarellc.com Direct

National Provider Directory

National Provider Directory

Locations

23250 Chagrin Blvd
Ste 150
Beachwood, OH 44122
Phone (216) 402-0027

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1740736818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD STE 150",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225417",
            "telephone_number": "216-402-0027",
            "fax_number": "330-574-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD STE 150",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225417",
            "telephone_number": "216-402-0027",
            "fax_number": "330-574-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "BERKOWITZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "216-392-4290",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "347002808C",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36003471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgallo@woundcarellc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23250 Chagrin Blvd Ste 150",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.