NPIMap

Organization Active NPI

Joseph a Favazzo DPM LL

  • Foot & Ankle Surgery Podiatrist
  • Twinsburg, OH
National Provider Identifier
1871772038
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36-003320 Issued in OH
Legal business name
JOSEPH A FAVAZZO DPM LL
Practice address
8984 Darrow Road
Ste 2
Twinsburg, OH 44087
Phone
(330) 963-4880
Fax
(440) 461-3279
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Joseph Angelo Favazzo, DPMNPI 1518952407
Title
Owner
Phone
(330) 963-4880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36-003320 OH Primary

Addresses

Primary practice location

8984 Darrow Road
Ste 2
Twinsburg, OH 44087

Mailing address

8984 Darrow Road
Ste 2
Twinsburg, OH 44087
Phone (330) 963-4880

Other identifiers 4

IdentifierTypeStateIssuer
2406524MedicaidOH
J09334871OtherOHMEDICARE GROUP NUMBER
5315240001OtherOHDMERC
P00044963OtherOHMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

8984 Darrow Rd
Ste 2
Twinsburg, OH 44087
Phone (216) 261-7662

Practitioners & affiliated clinicians

Practitioners 1

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1871772038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8984 DARROW ROAD",
            "address_2": "STE 2",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "330-963-4880",
            "fax_number": "440-461-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8984 DARROW ROAD",
            "address_2": "STE 2",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "44087",
            "telephone_number": "330-963-4880",
            "fax_number": "440-461-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A FAVAZZO DPM LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "FAVAZZO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-963-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-003320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406524",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "J09334871",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5315240001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00044963",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.