Vis Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

VIS PODIATRY

Practice address

4056 Manchester Rd
Perry, OH 44081-8657

Phone

(440) 259-8120

Fax

(440) 259-8186

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By 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

Douglas I Vis, DPMNPI 1740266410

Title

Owner

Phone

(440) 259-8120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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.

• Douglas I Vis, DPM

  • Podiatrist
  • Perry, OH
  • NPI 1740266410
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1962088286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 MANCHESTER RD",
            "city": "PERRY",
            "state": "OH",
            "postal_code": "440818657",
            "telephone_number": "440-259-8120",
            "fax_number": "440-259-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 MANCHESTER RD",
            "city": "PERRY",
            "state": "OH",
            "postal_code": "440818657",
            "telephone_number": "440-259-8120",
            "fax_number": "440-259-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIS PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "VIS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-259-8120",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Marie Short
• Lawrence Smith Jr., LICDC, LSW
• Mark S. Tilley, RN
• Jennifer Lynn Torrieri, RN
• Jacki Nichole Tyukody, RN
• Douglas I Vis, DPM
• Kimberly Jo Whiteman
• Victoria Wisnieski, PA
• Margaret Wolf
• Youapa S. Yang, M.D.

• Podiatrist in Perry, OH
• Providers in Perry, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.