Organization Active NPI

Angelo F. Petrolla

  • Podiatrist
  • Struthers, OH
National Provider Identifier
1861663858
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.001767 Issued in OH
Legal business name
ANGELO F. PETROLLA
Practice address
924 Youngstown Poland Rd
Struthers, OH 44471-1305
Phone
(330) 707-1360
Fax
(330) 707-1359
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Joanne Schulick
Title
Office Manager
Phone
(330) 793-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.001767 OH Primary

Addresses

Primary practice location

924 Youngstown Poland Rd
Struthers, OH 44471-1305

Mailing address

3507 Canfield Rd
Suite 7
Youngstown, OH 44511-2859
Phone (330) 793-0566

National Provider Directory

National Provider Directory

Locations

3507 Canfield Rd
Ste 7
Youngstown, OH 44511
Phone (330) 707-1360

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1861663858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 CANFIELD RD",
            "address_2": "SUITE 7",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112859",
            "telephone_number": "330-793-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 YOUNGSTOWN POLAND RD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711305",
            "telephone_number": "330-707-1360",
            "fax_number": "330-707-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO F. PETROLLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHULICK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-793-0566"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.001767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Struthers, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.