Grand Lake Podiatry Inc in Springfield - Foot & Ankle Surgery
Grand Lake Podiatry Inc - NPI 1184896177
Grand Lake Podiatry Inc is a Foot & Ankle Surgery in Springfield, Ohio. Grand Lake Podiatry Inc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Grand Lake Podiatry Inc is 1184896177. The last update date is 2011-06-09.
Grand Lake Podiatry Inc's current location address is 2624 Lexington Ave, Springfield, Ohio. You can contact this provider via phone number 9373223346 and fax number 9373223348. The mailing address for Grand Lake Podiatry Inc is 2624 Lexington Ave, Springfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Lake Podiatry Inc |
|---|---|
| Address | 2624 Lexington Ave, Springfield, Ohio |
| Phone Number | 9373223346 |
| Fax Number | 9373223348 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PODIATRIST |
|---|---|
| Authorized Official Name | Benjamin-Swonger Katherine Mary |
| Credentials | DPM |
| Telephone Number | 4195867874 |
NPI Number Detail
| NPI Number | 1184896177 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2011-06-09 |
Provider Mailing Address Detail
| Address | 2624 Lexington Ave |
|---|---|
| City | Springfield |
| State | Ohio (OH) |
| Post Code | 455052607 |
| Phone Number | 9373223346 |
| Fax Number | 9373223348 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 36 002772 |
|
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 |
|---|---|---|---|
| 2544885 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Grand Lake Podiatry Inc by the Centers for Medicare & Medicaid Services?
The Grand Lake Podiatry Inc has been issued the NPI (National Provider Identifier) 1184896177, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Grand Lake Podiatry Inc's facilities are geographically located?
The facilities of Grand Lake Podiatry Inc are physically situated at the following location: 2624 Lexington Ave, Springfield, OH, 455052607.
What is the area of specialization for Grand Lake Podiatry Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Grand Lake Podiatry Inc is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0103X.
On what date was the 1184896177 assigned to Grand Lake Podiatry Inc?
The Grand Lake Podiatry Inc was issued its 1184896177 on 2008-03-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Grand Lake Podiatry Inc most recently updated?
The details pertaining to the Grand Lake Podiatry Inc, including its address, specialty, and other relevant information, were last refreshed on 2011-06-09.
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