NORTH EASTERN OHIO PODIATRY GROUP LLC (NPI# 1144771213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144771213 |
| Entity Type | Organization |
| Organization Name | NORTH EASTERN OHIO PODIATRY GROUP LLC |
| Practice Address |
5000 Rockside Road Suite #260 Independence OH 44131-2141 |
| Mailing Address |
35010 Chardon Road Suite #101a Willoughby Hills OH 44094-9011 |
| Practice Telephone | 4409533668 |
| Mailing Telephone | 4409533668 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | DR. VADIM GLUKH (PARTNER) |
| Authorized Official Telephone | 4409533668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477117331 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 4200 Warrensville Center Road, Suite 271, Warrensville Heights, OH 44122-6805 | 2019-04-26 |
| 1447529656 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 35010 Chardon Rd, Suite 101a, Willoughby Hills, OH 44094-9011 | 2011-12-16 |
| Street Address |
5000 ROCKSIDE ROAD SUITE #260 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295806248 | Brian Andrew Koludrovich | Podiatrist | 5000 Rockside Road, Suite #260, Independence, OH 44131-2141 | 2006-11-13 |
| 1811323181 | Allyson Denver Rosich | Physical Therapy Assistant | 5000 Rockside Road, Suite 400, Independence, OH 44131 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| 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 |
|---|---|---|---|---|
| 1992185763 | Melanie Gonzalez | Podiatrist | 2406 E R.d. Mize Rd Ste. B, Independence, MO 64057-6405 | 2015-06-05 |
| 1902084122 | Thomas F Bembynista | Podiatrist | 10612 E 18 St, Independence, MO 64052 | 2008-02-11 |
| 1295806248 | Brian Andrew Koludrovich | Podiatrist | 5000 Rockside Road, Suite #260, Independence, OH 44131-2141 | 2006-11-13 |
| 1003986712 | Mark Stieby D.p.m. LLC | Podiatrist | 954 E Mount Zion Rd, Independence, KY 41051-9532 | 2006-11-09 |
| 1720163496 | Regional Foot Centers Pa | Podiatrist | 10612 E 18th, Independence, MO 64052 | 2006-10-25 |
| 1578654604 | Jeffrey D Hogge | Podiatrist | 209 N 6th St, Independence, KS 67301-3100 | 2006-09-27 |
| 1902819543 | Kenneth John Schultz | Podiatrist | 3420 Saddle Ridge Dr, Independence, MO 64057-3375 | 2006-08-14 |
| 1699795807 | Heartland Podiatry, P.C. | Podiatrist | 2406 Rd Mize Rd Ste B, Independence, MO 64057 | 2006-07-20 |
| 1144258062 | Valentenia Daugherty | Podiatrist | 18921 G E Valley View Pkwy, #226, Independence, MO 64055-7012 | 2006-06-29 |
| 1326042219 | Arthur M Weisman | Podiatrist | 2406 E R D Mize Rd, Ste B, Independence, MO 64057-1947 | 2005-06-08 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
Please comment or provide details below to improve the information on NORTH EASTERN OHIO PODIATRY GROUP LLC.
| 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.