Individual provider Active NPI

Amy Jo Marcano-Reik, DPM, PHD

  • Foot & Ankle Surgery Podiatrist
  • Garfield Heights, OH
National Provider Identifier
1982281929
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.004080 Issued in OH
Practice address
12575 Rockside Rd
Garfield Heights, OH 44125-4548
Phone
(216) 758-9600
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36.004080 OH Primary

Addresses

Primary practice location

12575 Rockside Rd
Garfield Heights, OH 44125-4548

Mailing address

27380 Cook Rd Apt 98
Olmsted TWP, OH 44138-3900

Other practice location 1

15644 Madison Ave
Lakewood, OH 44107-5622
Phone (216) 221-2445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130002287 OH Practitioner - Podiatry 3577931245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8334 Mentor Ave
Suite 100
Mentor, OH 44060-5757
Phone (440) 357-8418

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue55
Removal or shaving of skin growth15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36.004080OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Foot & Ankle Associates, LLC Single Specialty CurrentSince Dec 26, 2022 Accepting new patients
Lake County Foot & Ankle Associates, LLC Single Specialty CurrentSince Dec 26, 2022 Accepting new patients

Locations

12575 Rockside Rd
Garfield Hts, OH 44125
Phone (216) 663-2515

15644 Madison Ave
Ste 106
Lakewood, OH 44107
Phone (216) 221-2445

8334 Mentor Ave
Ste 100
Mentor, OH 44060
Phone 44035784188

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1982281929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27380 COOK RD APT 98",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441383900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12575 ROCKSIDE RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254548",
            "telephone_number": "216-758-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15644 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441075622",
            "country_code": "US",
            "telephone_number": "216-221-2445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCANO-REIK",
        "first_name": "AMY JO",
        "name_prefix": "Dr.",
        "credential": "DPM, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.