NORTH EASTERN OHIO PODIATRY GROUP, LLC (NPI# 1104293133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104293133 |
| Entity Type | Organization |
| Organization Name | NORTH EASTERN OHIO PODIATRY GROUP, LLC |
| Practice Address |
12000 Mccracken Rd Suite 159 Garfield Heights OH 44125-2964 |
| Mailing Address |
35010 Chardon Road Suite 101a Willoughby OH 44094-9011 |
| Practice Telephone | 2164751324 |
| Practice Fax Number | 2164751336 |
| Mailing Telephone | 4409533668 |
| Mailing Fax Number | 4409533556 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | VADIM GLUKH (OWNER) |
| Authorized Official Telephone | 4409533668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
12000 MCCRACKEN RD SUITE 159 |
| City | GARFIELD HEIGHTS |
| State | OH |
| Zip Code | 44125-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311415 | Shukri M.f. Elkhairi | Surgery | 12000 Mccracken Rd, Suite 214, Garfield Heights, OH 44125-2964 | 2005-07-28 |
| 1902356546 | Rebecca Danielle Palmer | Nurse Practitioner | 12000 Mccracken Rd, Suite 460, Garfield Heights, OH 44125 | 2016-10-06 |
| 1447669601 | Michelle Johnston | Nurse Practitioner | 12000 Mccracken Rd, Suite 108, Garfield Heights, OH 44125-2964 | 2014-08-12 |
| 1386076099 | Advanced Health Partners, LLC | Specialist | 12000 Mccracken Rd, Suite 357, Garfield Heights, OH 44125-2964 | 2013-08-05 |
| 1518277631 | Suzanne Harrington Ltd | Social Worker | 12000 Mccracken Rd, Suite 219, Garfield Heights, OH 44125-2964 | 2010-10-08 |
| 1891014296 | Christina J Buffington | Nurse Practitioner | 12000 Mccracken Rd, Suite 550, Garfield Heights, OH 44125-2964 | 2010-05-25 |
| 1316261365 | Neuro Health and Wellness LLC | Psychiatry & Neurology | 12000 Mccracken Rd, Suite 357, Garfield Heights, OH 44125-2964 | 2010-03-19 |
| 1245563881 | Pts Medical Group | Nurse Practitioner | 12000 Mccracken Rd, Suite 550, Garfield Heights, OH 44125-2964 | 2009-09-15 |
| 1770712192 | Jerin Cherian Mathew | Internal Medicine | 12000 Mccracken Rd, Ste 157, Garfield Heights, OH 44125-2964 | 2009-07-07 |
| 1790939304 | Marney J Lukanc | Contractor | 12000 Mccracken Rd, Suite 210, Garfield Heights, OH 44125-2964 | 2008-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852268 | Rosemary B. Field | Registered Nurse | 12500 Mccracken Rd, Garfield Heights, OH 44125 | 2020-05-13 |
| 1720639040 | Unique Jones | Technician | 8137 Reed Ave, Garfield Hts, OH 44125 | 2019-09-27 |
| 1215404736 | Lauren Deniese Taylor | Nurse Practitioner | Marymount Hospital, 12300 Mccracken Road, Garfield Heights, OH 44125 | 2018-11-02 |
| 1023599925 | Fresenius Medical Care Garfield Heights Home, LLC | Clinic/Center | 9729 Granger Rd, Garfield Heights, OH 44125 | 2018-08-28 |
| 1306326939 | John Paul Allison | Nurse Practitioner | 12300 Mckraken Road, Garfield Heights, OH 44125 | 2018-08-14 |
| 1629573944 | Chelsee Christine Williams | Case Manager/Care Coordinator | 12395 Mccraken Rd Suite A, Garfield Heights, OH 44125 | 2018-03-28 |
| 1730605908 | Shauntae Patterson | Home Health | 8133 Garfield Blvd Upstairs, Garfield Heights, OH 44125 | 2017-08-18 |
| 1134643398 | Velma Charis George | Licensed Practical Nurse | 11414 Mccracken Road, Garfield Hts, OH 44125 | 2017-07-31 |
| 1528591450 | Joanne Biltz Biltz | Speech-Language Pathologist | 12801 Bangor, Garfield Heights, OH 44125 | 2017-04-07 |
| 1235670340 | Mike Johanek | Pharmacist | 8333 Rockside Road, Valley View, OH 44125 | 2017-03-09 |
| Find all providers in zip 44125 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255484515 | Brian Koludrovich,dpm,llc | Podiatrist | 12000 Mccracken Rd, Suite 157, Garfield Heights, OH 44125-2964 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518950 | Mobile Foot Care Specialists, L.L.C. | Podiatrist | 38752 Renwood Ave, Avon, OH 44011-5229 | 2020-11-06 |
| 1275159345 | Buckeye Foot Care | Podiatrist | 5105 Som Center Rd Ste 102, Willoughby, OH 44094-4203 | 2020-06-24 |
| 1285289439 | Brent L. Rubin & Associates Inc | Podiatrist | 755 W South Boundary St, Perrysburg, OH 43551-5226 | 2019-08-05 |
| 1902467459 | Zaccardelli and Ritz | Podiatrist | 5556 Ridge Rd, Parma, OH 44129-2305 | 2019-06-25 |
| 1134786635 | Integrity Foot and Ankle Associates, LLC | Podiatrist | 1740 Cooper Foster Park Rd W Ste B, Lorain, OH 44053-4201 | 2019-05-21 |
| 1891351185 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 1 Healthy Place, Suite 202, Pataskala, OH 43062-7067 | 2019-05-13 |
| 1376109660 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 65 E Granville St, Sunbury, OH 43074-9130 | 2019-05-13 |
| 1770149296 | Foot and Ankle Specialists of Central Ohio, LLC | Podiatrist | 6002 E. Main Street, Columbus, OH 43213-3355 | 2019-05-10 |
| 1295390268 | Greenberg Foot and Ankle | Podiatrist | 1989 Miamisburg Centerville Rd Ste 200, Dayton, OH 45459-3858 | 2019-05-06 |
| 1083278287 | Kburtondpm LLC | Podiatrist | 662 Seagull Ct, Westerville, OH 43082-8534 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | GARFIELD HEIGHTS |
| Zip Code | 44125 |
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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.