North Canton Podiatry Inc

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

NORTH CANTON PODIATRY INC

Practice address

8328 Cleveland Ave NW
North Canton, OH 44720-4820

Phone

(330) 494-4949

NPI assigned

Nov 1, 2021

Last updated

Apr 7, 2022By 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

Priyanka J Mude, DPMNPI 1770996662

Title

Owner

Phone

(330) 494-4949

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4d4f1d55-8274-42f9-8e8e-37c848659018/

Practitioners 3

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.

• Priyanka J Mude, D.P.M.

  • Foot Surgery Podiatrist
  • North Canton, OH
  • NPI 1770996662
  Medicare reassignment NPD Authorized official
• Adriana Raisa Krywiak, DPM

  • Podiatrist
  • Westlake, OH
  • NPI 1538495130
  Medicare reassignment NPD
• Kari Ann Wahl, FNP

  • Family Nurse Practitioner
  • Uniontown, OH
  • NPI 1346797685
  Medicare reassignment NPD

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1851056204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8328 CLEVELAND AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204820",
            "telephone_number": "330-494-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8328 CLEVELAND AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204820",
            "telephone_number": "330-494-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CANTON PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "MUDE",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-494-4949",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0822015",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Norman
• North Canton City Schools
• North Canton Family Physicians Inc
• North Canton Medical Foundation (Child & Adolescent Psychiatry)
• North Canton Playhouse Spotlight on Youth
• North Canton Therapy Works, LLC
• North Central Medical Resources, Inc. (Aultman Home Medical Supply)
• Northeast Ohio Behavioral Health
• Northeast Ohio Eye Surgeons Inc
• Northland Hearing Centers, Inc (All American Hearing)

• Foot Surgery Podiatrist in North Canton, OH
• Providers in North Canton, OH by specialty
• Foot Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.