Organization Active NPI

Podiatry Associates of Cincinnati Inc.

  • Foot & Ankle Surgery Podiatrist
  • Cincinnati, OH
National Provider Identifier
1760576573
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PODIATRY ASSOCIATES OF CINCINNATI INC.
Practice address
3434 Michigan Ave
Cincinnati, OH 45208-2102
Phone
(513) 321-8231
Fax
(513) 321-9637
NPI assigned
Oct 3, 2006
Last updated
Apr 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Amy Haverkamp
Title
Practice Manager
Phone
(513) 474-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

3434 Michigan Ave
Cincinnati, OH 45208-2102

Mailing address

PO Box 418
Batavia, OH 45103-0418
Phone (513) 474-4450

Other identifiers 2

IdentifierTypeStateIssuer
2364534MedicaidOH
000000251377OtherOHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000005 OH Part B Supplier - Clinic/Group Practice 1052347325 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cincinnati, OH; West Chester, OH

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Locations

3434 Michigan Ave
Cincinnati, OH 45208
Phone (513) 321-8231

8404 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 474-1847

7690 Discovery Dr
Unit 1600
West Chester, OH 45069
Phone (513) 475-7525

7700 University Dr
#3600
West Chester, OH 45069
Phone (513) 793-5524

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1760576573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451030418",
            "telephone_number": "513-474-4450",
            "fax_number": "513-474-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 MICHIGAN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082102",
            "telephone_number": "513-321-8231",
            "fax_number": "513-321-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF CINCINNATI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "HAVERKAMP",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "513-474-4450"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2364534",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000251377",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.