Midwest Footcare, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36-00-1774-V Issued in OH

Legal business name

MIDWEST FOOTCARE, INC

Practice address

875 E Columbus St
Kenton, OH 43326-2601

Phone

(419) 675-3668

Fax

(419) 675-2237

NPI assigned

Jul 24, 2009

Last updated

Aug 12, 2009By 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

Lewis M Vichinsky, D.P.M.NPI 1881613974

Title

President

Phone

(937) 642-9936

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Lewis M Vichinsky, DPM

  • Podiatrist
  • Marysville, OH
  • NPI 1881613974
  Authorized official Same address or phone
• Stanley Beekman, DPM

  • Podiatrist
  • Cleveland, OH
  • NPI 1942229034
  NPD
• Richard Shramo, D.P.M

  • Podiatrist
  • Bellefontaine, OH
  • NPI 1053339374
  NPD (past)

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1952531980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STOCKSDALE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401563",
            "telephone_number": "937-642-9936",
            "fax_number": "937-642-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E COLUMBUS ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262601",
            "telephone_number": "419-675-3668",
            "fax_number": "419-675-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FOOTCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "VICHINSKY",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-642-9936",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-1774-V",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklin Nicole Mauk, COTA/L
• Danielle Lea Mayer, PA-C
• Kaytie McGue
• Michael a Broseke D.C.
• Heather Middleton, LPN
• April Miller
• David Miller, CNP
• Melanie Moon, LSW
• Amy Jo Morgan
• Athena Murfield

• Foot & Ankle Surgery Podiatrist in Kenton, OH
• Providers in Kenton, 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 12, 2009; 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.