Midwest Foot and Ankle Clinic LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIDWEST FOOT AND ANKLE CLINIC LLC

Practice address

208 Columbus St Ste 200
Hicksville, OH 43526-1250

Phone

(419) 799-1180

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Nitie I Sroa, DPM

Title

Owner

Phone

(419) 799-1180

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1962175760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLUMBUS ST STE 200",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261250",
            "telephone_number": "419-799-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COLUMBUS ST STE 200",
            "city": "HICKSVILLE",
            "state": "OH",
            "postal_code": "435261250",
            "telephone_number": "419-799-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Westfield Dr",
            "address_purpose": "LOCATION",
            "city": "Archbold",
            "state": "OH",
            "postal_code": "435021056",
            "country_code": "US",
            "telephone_number": "419-799-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST FOOT AND ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "SROA",
        "authorized_official_first_name": "NITIE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-799-1180",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natallia Lamantia
• Julanne Marie Luderman, RD, LD
• Tara L Lynchard, CNM, FNP-C
• Midwest Foot and Ankle Clinic LLC
• Midwest Foot and Ankle Clinic LLC
• Jonathon M Myers, RPH
• Lauren Notario, M.A., CCC-SLP
• Stella Elizabeth Perna, ED.S.
• Stephanie R Ramey, APRN
• Vasavi K Reddy, M.D.

• Durable Medical Equipment & Medical Supplies in Hicksville, OH
• Providers in Hicksville, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.