Elite Foot and Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36-003396 Issued in OH

Legal business name

ELITE FOOT AND ANKLE LLC

Practice address

6024 Hoover Rd
Suite F
Grove City, OH 43123-8133

Phone

(614) 539-4964

Fax

(614) 539-4609

NPI assigned

Dec 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Trevor A Davy, DPMNPI 1306830294

Title

Owner

Phone

(614) 539-4964

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Trevor A Davy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grove City, OH
  • NPI 1306830294
  Medicare reassignment Care Compare group NPD Authorized official
• Robin Dale Kravitz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
  • NPI 1326044652
  Medicare reassignment Care Compare group NPD
• Jacqueline Kathryn Donovan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Beachwood, OH
  • NPI 1225394596
  Medicare reassignment NPD

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1801165618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 HOOVER RD",
            "address_2": "SUITE F",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238133",
            "telephone_number": "614-539-4964",
            "fax_number": "614-539-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 HOOVER RD",
            "address_2": "SUITE F",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238133",
            "telephone_number": "614-539-4964",
            "fax_number": "614-539-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "DAVY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-539-4964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-003396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058765",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Ann Eakin, D.O.
• Binay Chacko Eapen, M.D.
• Trevor Easley I, QMHS
• John Edgar, LISW
• Kanani Cassy Eiland
• Daniel Ellis
• Mohamed Elsayed Elmasry, DO
• Qodah Elmi
• Brittany Elmore, LICDC, LPCC
• Jeanette Leigh Elwell-Cossin, RN

• Foot & Ankle Surgery Podiatrist in Grove City, OH
• Providers in Grove City, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.