NPIMap

Organization Active NPI

Northeast Ohio Foot and Wound Center Inc

  • Primary Podiatric Medicine Podiatrist
  • Warren, OH
National Provider Identifier
1811036395
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
36.003129 Issued in OH
Legal business name
NORTHEAST OHIO FOOT AND WOUND CENTER INC
Practice address
8588 E Market St
Warren, OH 44484-2339
Phone
(330) 856-4444
Fax
(330) 856-9033
NPI assigned
Feb 5, 2007
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Dr. James J Lapolla Jr., DPMNPI 1871587063
Title
President
Phone
(330) 856-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Primary Podiatric Medicine Podiatrist 213EP1101X 36.003129 OH Primary
Primary Podiatric Medicine Podiatrist 213EP1101X SC005955 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 36.002617 OH
Foot & Ankle Surgery Podiatrist 213ES0103X SC003389L PA

Addresses

Primary practice location

8588 E Market St
Warren, OH 44484-2339

Mailing address

8588 E Market St
Warren, OH 44484-2339
Phone (330) 856-4444

Other identifiers 2

IdentifierTypeStateIssuer
0659269OtherMEDICARE IDENTIFICATION NUMBER
2308667MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080508000097 OH Part B Supplier - Clinic/Group Practice 0547349151 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, OH; Warren, OH
O20100930095847 OH DME Supplier - Physician - Podiatry 0547349151 1 other NPI on this enrollment
Practice locations: Warren, OH

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Neo Foot Wound Ctr Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2600 Elm Rd NE
Bldg D
Cortland, OH 44410
Phone (330) 372-8931

5000 E Market St
Ste 31
Warren, OH 44484
Phone (330) 609-8402

Practitioners & affiliated clinicians

Practitioners 10

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1811036395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8588 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842339",
            "telephone_number": "330-856-4444",
            "fax_number": "330-856-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8588 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842339",
            "telephone_number": "330-856-4444",
            "fax_number": "330-856-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO FOOT AND WOUND CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LAPOLLA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-856-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36.003129",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC005955",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.002617",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003389L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "0659269",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2308667",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.