Mastracco Foot & Ankle LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MASTRACCO FOOT & ANKLE LTD

Practice address

6227 Frank Ave NW
North Canton, OH 44720-8439

Phone

(330) 244-8989

NPI assigned

Apr 15, 2020

Last updated

Aug 4, 2020By 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

Dominick Mastracco, DPMNPI 1376079855

Title

Owner

Phone

(330) 244-8989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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.

• Dominick Vincent Mastracco

  • Foot & Ankle Surgery Podiatrist
  • North Canton, OH
  • NPI 1376079855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1891314241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208439",
            "telephone_number": "330-244-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6227 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208439",
            "telephone_number": "330-244-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTRACCO FOOT & ANKLE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "MASTRACCO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-244-8989",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Lynn Mason, LPCC
• Mark L. Mason, O.D.
• Nicholas Joesph Massoli
• Tara Massoli, PTA
• Jamie Allison Masternak
• Dominick Vincent Mastracco
• Nicholas L Mastroianni, PTA
• Jenna Matheson, APRN
• James Mathews, LPTA
• Bruce P Mathie, OD

• Foot & Ankle Surgery Podiatrist in North Canton, OH
• Providers in North Canton, 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 Aug 4, 2020; 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.