Organization Active NPI

Middleburg Heights Podiatry LTD

  • Durable Medical Equipment & Medical Supplies
  • Middleburg Heights, OH
National Provider Identifier
1861548885
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5772750001 Issued in OH
Legal business name
MIDDLEBURG HEIGHTS PODIATRY LTD
Practice address
18660 Bagley Rd
Suite 301
Middleburg Heights, OH 44130-3483
Phone
(440) 243-1473
Fax
(440) 243-1476
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Robin Brown
Title
Access Manager
Phone
(440) 238-8843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5772750001 OH Primary

Addresses

Primary practice location

18660 Bagley Rd
Suite 301
Middleburg Heights, OH 44130-3483

Mailing address

18660 Bagley Rd
Suite 301
Middleburg Heights, OH 44130-3483
Phone (440) 243-1473

National Provider Directory

National Provider Directory

Locations

18660 Bagley Rd
Ste 301
Middleburg Heights, OH 44130
Phone (440) 238-8843

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1861548885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "SUITE 301",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-243-1473",
            "fax_number": "440-243-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY RD",
            "address_2": "SUITE 301",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303483",
            "telephone_number": "440-243-1473",
            "fax_number": "440-243-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURG HEIGHTS PODIATRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "440-238-8843"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "5772750001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.