Organization Active NPI

Ohio Foot Inc

  • Foot & Ankle Surgery Podiatrist
  • Tiffin, OH
National Provider Identifier
1912196338
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002994 Issued in OH
Legal business name
OHIO FOOT INC
Practice address
672 Miami St Ste D
Tiffin, OH 44883-1984
Phone
(419) 443-8637
Fax
(419) 443-9937
NPI assigned
Oct 22, 2007
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Dr. Joel William Consolo, D.P.M.NPI 1083617559
Title
President/Physician
Phone
(419) 443-8637

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 36002994 OH Primary

Addresses

Primary practice location

672 Miami St Ste D
Tiffin, OH 44883-1984

Mailing address

672 Miami St Ste D
Tiffin, OH 44883-1984
Phone (419) 443-8637

Other identifiers 1

IdentifierTypeStateIssuer
2240695MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031230000743 OH Part B Supplier - Clinic/Group Practice 6901704766 Receives reassigned benefits from 1 practitioner
Practice locations: Tiffin, OH

National Provider Directory

National Provider Directory

Locations

233 S Monroe St
Tiffin, OH 44883
Phone (419) 443-8637

672 Miami St
Ste D
Tiffin, OH 44883
Phone (419) 443-8637

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1912196338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 MIAMI ST STE D",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831984",
            "telephone_number": "419-443-8637",
            "fax_number": "419-443-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 MIAMI ST STE D",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831984",
            "telephone_number": "419-443-8637",
            "fax_number": "419-443-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO FOOT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "CONSOLO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "419-443-8637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2240695",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.