Family Foot Care Center LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36003579 Issued in OH

Legal business name

FAMILY FOOT CARE CENTER LLC

Practice address

1627 E Main St
Kent, OH 44240-2875

Phone

(330) 673-3505

Fax

(330) 673-4888

NPI assigned

Sep 28, 2016

Last updated

Sep 28, 2016By 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

Renee L Mackey, DPMNPI 1013158658

Title

Authorized Official

Phone

(330) 673-3505

Specialties & licenses 1

Addresses

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.

• Renee Lenore Mackey, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fairlawn, OH
  • NPI 1013158658
  Authorized official Same address or phone

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1831648161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 E MAIN ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402875",
            "telephone_number": "330-673-3505",
            "fax_number": "330-673-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 E MAIN ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402875",
            "telephone_number": "330-673-3505",
            "fax_number": "330-673-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "330-673-3505",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Renee Estep
• Virginia Mateo Factor, D.O.
• Fairchild (MD) Leasing Co., LLC (Kent Healthcare Center)
• Family & Community Services, Inc
• Family and Community Services, Inc.
• Familycare Home Health
• David F Fantelli, M.D.
• Pamela O Farer-Singleton, PH.D.
• Steven Allen Farr, PEER SUPPORTER
• Tara Farrell, LPC

• Foot & Ankle Surgery Podiatrist in Kent, OH
• Providers in Kent, 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 Sep 28, 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.