Foot and Ankle Specialists of Central Ohio LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC

Practice address

1 Healthy Place
Suite 202
Pataskala, OH 43062-7067

Phone

(740) 344-8286

Fax

(740) 522-0094

NPI assigned

May 13, 2019

Last updated

May 13, 2019By 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

Colleen R Griffith, CMOM-POD

Title

Practice Manager

Phone

(740) 344-8286

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1891351185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 BEECHER RD",
            "address_2": "SUITE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301797",
            "telephone_number": "740-344-8286",
            "fax_number": "614-939-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY PLACE",
            "address_2": "SUITE 202",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627067",
            "telephone_number": "740-344-8286",
            "fax_number": "740-522-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "740-344-8286",
        "authorized_official_credential": "CMOM-POD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.