Barbara Lynn Petkovic in Fairfield - Primary Podiatric Medicine
Barbara Lynn Petkovic - NPI 1508829359
Barbara Lynn Petkovic is a Primary Podiatric Medicine in Fairfield, Ohio. Barbara Lynn Petkovic practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Barbara Lynn Petkovic is 1508829359. The last update date is 2017-04-27.
Barbara Lynn Petkovic's current location address is 6200 Pleasant Ave, Fairfield, Ohio. You can contact this provider via phone number 5138299333 and fax number 5138587827. The mailing address for Barbara Lynn Petkovic is 6200 Pleasant Ave, Fairfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barbara Lynn Petkovic |
|---|---|
| Address | 6200 Pleasant Ave, Fairfield, Ohio |
| Phone Number | 5138299333 |
| Fax Number | 5138587827 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1508829359 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2017-04-27 |
Provider Mailing Address Detail
| Address | 6200 Pleasant Ave |
|---|---|
| City | Fairfield |
| State | Ohio (OH) |
| Post Code | 450144670 |
| Phone Number | 5138299333 |
| Fax Number | 5138587827 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 36003284 |
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Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2323444 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Barbara Lynn Petkovic by the Centers for Medicare & Medicaid Services (CMS)?
The Barbara Lynn Petkovic has been assigned the NPI (National Provider Identifier) 1508829359. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Barbara Lynn Petkovic is located?
The Barbara Lynn Petkovic is situated at the following address: 6200 Pleasant Ave, Fairfield, OH, 450144670.
What is Barbara Lynn Petkovic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Barbara Lynn Petkovic is Primary Podiatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 213Ep1101X.
On what date did Barbara Lynn Petkovic receive its 1508829359 assignment from the Centers for Medicare & Medicaid Services?
The Barbara Lynn Petkovic was assigned its 1508829359 on 2006-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Barbara Lynn Petkovic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Barbara Lynn Petkovic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-27.