Prestige Foot & Ankle Center LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

36003592 Issued in OH

Legal business name

PRESTIGE FOOT & ANKLE CENTER LLC

Practice address

1900 23Rd St
Ste# 403
Cuyahoga Falls, OH 44223-1404

Phone

(330) 591-9635

Fax

(330) 591-4150

NPI assigned

Feb 24, 2014

Organization subpart

No

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

Authorized official

Name

Machelle Giordon

Title

Credentialing Specialist

Phone

(330) 723-2111

Specialties & licenses 1

Addresses

Tax ID family

Prestige Foot Ankle Center LLC2 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.

• Prestige Foot & Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Medina, OH
  • NPI 1518602317
  NPD tax ID

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1811312176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD",
            "address_2": "STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-591-9635",
            "fax_number": "330-591-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "address_2": "STE# 403",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-591-9635",
            "fax_number": "330-591-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE FOOT & ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "GIORDON",
        "authorized_official_first_name": "MACHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "330-723-2111"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "36003592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.