Avon Lake Podiatry Inc in Avon Lake - Foot & Ankle Surgery
Avon Lake Podiatry Inc - NPI 1992864490
Avon Lake Podiatry Inc is a Foot & Ankle Surgery in Avon Lake, Ohio. Avon Lake Podiatry Inc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Avon Lake Podiatry Inc is 1992864490. The last update date is 2008-05-29.
Avon Lake Podiatry Inc's current location address is 32730 Walker Rd, Avon Lake, Ohio. You can contact this provider via phone number 4409334021 and fax number 4409337132. The mailing address for Avon Lake Podiatry Inc is 32730 Walker Rd, Avon Lake, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Avon Lake Podiatry Inc |
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Address | 32730 Walker Rd, Avon Lake, Ohio |
Phone Number | 4409334021 |
Fax Number | 4409337132 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Gould David Mark |
Credentials | DPM |
Telephone Number | 4409334021 |
NPI Number Detail
NPI Number | 1992864490 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
Address | 32730 Walker Rd |
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City | Avon Lake |
State | Ohio (OH) |
Post Code | 440124100 |
Phone Number | 4409334021 |
Fax Number | 4409337132 |
Provider's Primary Taxonomy Detail
Speciality | Foot & Ankle Surgery |
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Taxonomy | 213Es0103X |
Licence No | 36.002416 |
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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480004004 | OH | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Avon Lake Podiatry Inc by the Centers for Medicare & Medicaid Services?
The Avon Lake Podiatry Inc has been assigned the NPI (National Provider Identifier) 1992864490. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Avon Lake Podiatry Inc's physical address?
The Avon Lake Podiatry Inc is physically located at 32730 Walker Rd, in the city of Avon Lake, OH, with the postal code 440124100.
What is Avon Lake Podiatry Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Avon Lake Podiatry Inc's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
When did the Avon Lake Podiatry Inc receive its 1992864490?
The Avon Lake Podiatry Inc was issued its 1992864490 on 2006-12-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Avon Lake Podiatry Inc most recently updated or revised?
The information pertaining to Avon Lake Podiatry Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-29.