ANKLE & FOOT CLINIC, INC. (NPI# 1063599033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063599033 |
| Entity Type | Organization |
| Organization Name | ANKLE & FOOT CLINIC, INC. |
| Practice Address |
4789 Leavitt Rd Suite B Lorain OH 44053-2136 |
| Practice Telephone | 4402461200 |
| Practice Fax Number | 4402462275 |
| Mailing Telephone | 4402461200 |
| Mailing Fax Number | 4402462275 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-10-23 |
| Authorized Official Name | DR. ROBERT J. WHITE (PRESIDENT) |
| Authorized Official Telephone | 4402461200 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36003106 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO HEALTH CHOICE | 270646406 | 01 |
| OH | MEDICAL MUTUAL | 270646406004 | 01 |
| OH | SUMMA | E03106 | 01 |
| OH | KAISER PERM. | 04374 | 01 |
| OH | RAILROAD MEDICARE | DN6482 | 01 |
| OH | AETNA | 7361316 | 01 |
| OH | ANTHEM BC/BS | 000000230200 | 01 |
| OH | QUALCHOICE | 21203 | 01 |
| OH | EMERALD HEALTH | 270646406 | 01 |
| OH | 2865118 | 05 |
| Street Address |
4789 LEAVITT RD SUITE B |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093884033 | Robert J White | Podiatrist | 4789 Leavitt Rd, Suite B, Lorain, OH 44053-2136 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235433558 | Stephanie Michele Ouhadi | Podiatrist | 4560 Oberlin Ave Ste 1, Lorain, OH 44053-3195 | 2010-12-29 |
| 1215463773 | Samantha Marie Figas | Podiatrist | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2017-05-03 |
| 1659729218 | Lauren Coe | Podiatrist | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2016-05-24 |
| 1912387838 | Jacqueline Morrison-nozik | Podiatrist | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2015-06-05 |
| 1588782288 | Sara Lynn Reid-lang | Podiatrist | 1740 Cooper Foster Park Rd W, Lorain, OH 44053-4201 | 2007-03-27 |
| 1093884033 | Robert J White | Podiatrist | 4789 Leavitt Rd, Suite B, Lorain, OH 44053-2136 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1063047942 | Jennifer C. Swan, Dpm, LLC | Podiatrist | 155 Commerce Park Dr Ste 7, Westerville, OH 43082-8384 | 2020-03-11 |
| 1518599117 | Howard Waxman | Podiatrist | 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094-9019 | 2020-02-11 |
| 1346887510 | Performance Foot and Ankle, LLC | Podiatrist | 3727 Friendsville Rd Unit 2, Wooster, OH 44691-7127 | 2019-12-05 |
| 1053971200 | Lauren Digregorio Dpm | Podiatrist | 1502 Lear Industrial Pkwy Ste 1a, Avon, OH 44011-1380 | 2019-06-19 |
| 1477117331 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 4200 Warrensville Center Road, Suite 271, Warrensville Heights, OH 44122-6805 | 2019-04-26 |
| 1336611672 | Anthony G Polito Dpm Inc | Podiatrist | 4071 N Jefferson St, Medina, OH 44256-5622 | 2018-12-27 |
| 1023547957 | Phuoc Bui | Podiatrist | 4260 Glendale Mildford Rd. Ste 103, Blue Ash, OH 45242 | 2017-06-05 |
| 1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
| 1174058630 | Lance Jon Johnson | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.