MS. KIMBERLY SUE CICCERO (NPI# 1083666036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083666036 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY SUE CICCERO |
| Credential | DPM |
| Practice Address |
396 Portland Way North Galion OH 44833 |
| Mailing Address |
3255 E Livingston Ave Po Box 27940 Columbus OH 43227-1923 |
| Practice Telephone | 4194683668 |
| Practice Fax Number | 4194625037 |
| Mailing Telephone | 6142399444 |
| Mailing Fax Number | 6142391080 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36003436 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2657843 | 05 | |
| OH | AETNA | 7970774 | 01 |
| OH | MEDICARE NPI | 1699074393 | 01 |
| OH | GREAT WEST | 310945970 | 01 |
| OH | CIGNA | 5340555 | 01 |
| OH | FIRST HEALTH NETWORK | 986832 | 01 |
| OH | UNISON | 000000252794 | 01 |
| OH | COVENTRY | 986832 | 01 |
| OH | MEDICARE NPI | 1366529653 | 01 |
| OH | ANTHEM | 000000580187 | 01 |
| Street Address |
396 PORTLAND WAY NORTH |
| City | GALION |
| State | OH |
| Zip Code | 44833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768738 | Stephanie Joan Saunders | Registered Nurse | 1236 State Route 61, Galion, OH 44833 | 2018-08-01 |
| 1235635202 | Central Ohio Emergency Transport | Ambulance | 8197 State Route 309, Galion, OH 44833 | 2018-03-30 |
| 1578098109 | Christine Lynch | Counselor | #6 Public Square, Galion, OH 44833 | 2017-04-20 |
| 1518301589 | Christina Angelee Williams | Home Health | 1217 Dawsett Ave, Galion, OH 44833 | 2013-04-22 |
| 1518102425 | Northmor Local School District | Local Education Agency (LEA) | 5247 County Road 29, Galion, OH 44833 | 2008-12-05 |
| 1629226543 | Kristen Megan Simons | Pharmacist | 304 Harding Way W, Galion, OH 44833 | 2008-09-04 |
| 1821250101 | Galion Community Hospital | Orthopaedic Surgery | 955 Hosford Road, Galion, OH 44833 | 2008-06-27 |
| 1275696239 | Debra A Mckinley | Licensed Practical Nurse | 676 N. Market St, Galion, OH 44833 | 2006-12-19 |
| 1700952520 | Schaaf Chiropractic Office Inc | Chiropractor | 516 Harding Way West, Galion, OH 44833 | 2006-11-24 |
| 1902876154 | Robert R Wisner Jr. | Physician Assistant | 955 Bucyrus Rd, Galion, OH 44833 | 2006-01-23 |
| Find all providers in zip 44833 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720246929 | Samantha Elizabeth Bark | Podiatrist | 955 Hosford Rd, Galion, OH 44833-9325 | 2008-05-26 |
| 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.