Organization Active NPI

Hudson Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Hudson, OH
National Provider Identifier
1902213069
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
HUDSON PODIATRY LLC
Practice address
1315 Corporate Dr
Suite B
Hudson, OH 44236-4453
Phone
(330) 655-5000
Fax
(330) 342-9582
NPI assigned
Jul 21, 2014
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Ronald Alan Stein, DPMNPI 1679662092
Title
Owner
Phone
(330) 655-5000

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X OH Primary
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Foot Surgery Podiatrist 213ES0131X NU

Addresses

Primary practice location

1315 Corporate Dr
Suite B
Hudson, OH 44236-4453

Mailing address

1315 Corporate Dr
Suite B
Hudson, OH 44236-4453
Phone (330) 655-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141017001366 OH DME Supplier - Physician - Podiatry 7517177017 Practice locations: Hudson, OH
O20151208002036 OH Part B Supplier - Clinic/Group Practice 7517177017 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1902213069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CORPORATE DR",
            "address_2": "SUITE B",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364453",
            "telephone_number": "330-655-5000",
            "fax_number": "330-342-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 CORPORATE DR",
            "address_2": "SUITE B",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364453",
            "telephone_number": "330-655-5000",
            "fax_number": "330-342-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-655-5000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.