Ankle and Foot Care Centers

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ANKLE AND FOOT CARE CENTERS

Practice address

17674 Mahoning Ave
Lake Milton, OH 44429-9582

Phone

(330) 654-2511

NPI assigned

Aug 7, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence DidomenicoNPI 1942207733

Title

DPM

Phone

(330) 629-8800

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Lawrence Didomenico, DPM

  • Podiatrist
  • Boardman, OH
  • NPI 1942207733
  Authorized official Same address or phone

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1821007758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17674 MAHONING AVE",
            "city": "LAKE MILTON",
            "state": "OH",
            "postal_code": "444299582",
            "telephone_number": "330-654-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17674 MAHONING AVE",
            "city": "LAKE MILTON",
            "state": "OH",
            "postal_code": "444299582",
            "telephone_number": "330-654-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "DIDOMENICO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "330-629-8800"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "5504",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102758",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Busch
• Alexis Michelle Chrystal, PHARMD
• Conitaca Medical Associates,LLC
• Craig Beach Village
• Martin Escobar, M.D.

• Podiatrist in Lake Milton, OH
• Providers in Lake Milton, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.