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

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.

Title

President

Phone

(937) 642-9936

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2457934",
            "state": "OH"
        }
    ],
    "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.