Legacy Foot and Ankle LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LEGACY FOOT AND ANKLE LLC

Practice address

603 N State St
Girard, OH 44420-1748

Phone

(541) 740-0462

NPI assigned

Aug 7, 2022

Last updated

Aug 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shiloh Rose Thoman, DPMNPI 1356848790

Title

President

Phone

(541) 740-0462

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shiloh Rose Thoman, DPM

  • Podiatrist
  • Shenandoah, TX
  • NPI 1356848790
  NPD Authorized official

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1740917939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201748",
            "telephone_number": "541-740-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "THOMAN",
        "authorized_official_first_name": "SHILOH",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-740-0462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Krieg, COTA/L
• Kimberly Marie Kuneli, LPCC
• Thomas W Kunkel, DPM
• William Thomas Kunkel Jr., DDS
• Justin Lars Larson, CDCA, CPRS
• Liberty Assem Dbaheavenly Helpers
• Lifeline Partners, Inc
• Andrea Lynn Logue
• Ashley De Ann Logue
• Erika Longo, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.