Michael Thomas Hauman, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Chesterland, OH
NPI 1922009299 · NPPES record last updated Nov 14, 2007
Key facts
- NPI
- 1922009299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 36-00-2712 (OH)
- Practice address
- 12585 Chillicothe Rd
Chesterland, OH 44026-2501 - Phone
- (440) 729-3668
- Fax
- (440) 729-9904
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100923000910 | OH | Practitioner - Podiatry | 7214964238 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2712 | OH | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance: Foot and Ankle, LLC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Balance Foot and Ankle LLC | Foot & Ankle Surgery | Current |
Accepting new patients |
Locations
12585 Chillicothe Rd
Chesterland, OH 44026
Phone (440) 729-3668
14200 Madison Ave
Lakewood, OH 44107
Phone (330) 637-0348
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36-00-2712 | OH | Yes |
Addresses
Primary practice location
12585 Chillicothe Rd
Chesterland, OH 44026-2501
Mailing address
12585 Chillicothe Rd
Chesterland, OH 44026-2501
Phone (440) 729-3668
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002326 | Medicaid | OH | |
| 3933570001 | Other | DMERC |
Other providers in Chesterland, OH
- Tracey Tram Grabinski
- G. Garth Grant
- Marissa Anne Hadney
- Jared Hammond
- Jill Ann Harmat
- Kristina Hoehnen
- Hometown Optical LLC
- Iasc Counseling Services Inc
- Imex Inc
- In Step With Horses
All providers in Chesterland, OH · Foot & Ankle Surgery Podiatrist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.