Mark H Koltnow DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36001651 Issued in OH

Legal business name

MARK H KOLTNOW DPM INC

Practice address

550 E Market St
Ste 205
Akron, OH 44304-1613

Phone

(330) 535-8202

Fax

(330) 535-3065

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Sherry L Mino

Title

Office Manager

Phone

(330) 535-8202

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1962677575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E MARKET ST",
            "address_2": "STE 205",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041613",
            "telephone_number": "330-535-8202",
            "fax_number": "330-535-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E MARKET ST",
            "address_2": "STE 205",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041613",
            "telephone_number": "330-535-8202",
            "fax_number": "330-535-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H KOLTNOW DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "MINO",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-535-8202"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Marino, CRNA
• Nicole Lee Marino, PA-C
• Christian Peter Marinos, LSW
• Stefano Gabriel Mariola
• Mark a. Smith MD Inc.
• Mark R. Grubb, MD, Inc
• Julie Ar Mark, MD
• Myra Josephine Mark, M.D.
• Thomas Edward Mark, M.D.
• Tania Z Markarian, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.