Grady Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

GRADY PODIATRY LLC

Practice address

20800 Westgate Mall
Suite 401
Fairview Park, OH 44126-1323

Phone

(440) 333-7722

NPI assigned

Feb 28, 2012

Organization subpart

No

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

Authorized official

Name

Jack Grady

Title

DPM

Phone

(440) 478-9434

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Angela Fenell Grady, D.P.M

  • Podiatrist
  • Fairview Park, OH
  • NPI 1992930135
  NPD (past)

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1821362583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE MALL",
            "address_2": "SUITE 401",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261323",
            "telephone_number": "440-333-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE MALL",
            "address_2": "SUITE 401",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261323",
            "telephone_number": "440-333-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "440-478-9434"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earl Thomas Gentile
• Dahn Sheri Gibson
• Atana Gilbert, LSW
• Chelsea Anne Girgash
• Samantha Gower, HIS
• Angela Fenell Grady, D.P.M
• Kylee Nicole Grady, OTR
• Tamouh Hamoud, MD
• Lee C Hang-Fu, M.D.
• Dima Hanouneh

• Podiatrist in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.