Organization Active NPI

Eric McCallister

Doing business as McCallister Foot and Ankle

  • Podiatrist
  • Westlake, OH
National Provider Identifier
1750091658
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ERIC MCCALLISTER
Doing business as
McCallister Foot and Ankle
Practice address
29099 Health Campus Dr Ste 290
Westlake, OH 44145-5280
Phone
(440) 835-1999
Fax
(440) 835-1996
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Ms. Marlena C Murray, CBCS
Title
Billing
Phone
(440) 235-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

29099 Health Campus Dr Ste 290
Westlake, OH 44145-5280

Mailing address

PO Box 450807
Westlake, OH 44145-0617
Phone (440) 235-8484

Other practice location 1

429 Front St
Berea, OH 44017-1716
Phone (440) 243-6660

Other practice location 2

4065 Center Rd Ste 110
Brunswick, OH 44212-5325
Phone (330) 225-7520

Other names 1

  • McCallister Foot and Ankle Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221215001344 OH Part B Supplier - Clinic/Group Practice 0749659605 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake, OH

National Provider Directory

National Provider Directory

Locations

3430 Brunswick Lake Pkwy
Brunswick, OH 44212
Phone (330) 460-4244

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1750091658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450807",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441450617",
            "telephone_number": "440-235-8484",
            "fax_number": "440-235-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR STE 290",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455280",
            "telephone_number": "440-835-1999",
            "fax_number": "440-835-1996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Front St",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440171716",
            "country_code": "US",
            "telephone_number": "440-243-6660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4065 Center Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442125325",
            "country_code": "US",
            "telephone_number": "330-225-7520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC MCCALLISTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "440-235-8484",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CBCS"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCallister Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.