ANGELO F. PETROLLA DPM (NPI# 1154591675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154591675 |
| Entity Type | Organization |
| Organization Name | ANGELO F. PETROLLA DPM |
| Practice Address |
3507 Canfield Rd Suite 7 Youngstown OH 44511-2859 |
| Practice Telephone | 3307930566 |
| Practice Fax Number | 3307935767 |
| Mailing Telephone | 3307930566 |
| Mailing Fax Number | 3307935767 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | JOANNE SCHULICK (OFFICE MANAGER) |
| Authorized Official Telephone | 3307930566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36.001767 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0333697 | 05 |
| Street Address |
3507 CANFIELD RD SUITE 7 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44511-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962808378 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3507 Canfield Rd, Suite 7, Youngstown, OH 44511-2859 | 2014-11-12 |
| 1205266186 | Ankle and Foot Care Centers | Podiatrist | 3507 Canfield Rd, Suite 7, Youngstown, OH 44511-2859 | 2013-11-14 |
| 1124299466 | Heather A. Petrolla | Podiatrist | 3507 Canfield Rd, Suite 7, Youngstown, OH 44511-2859 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365755 | Khaled Omar | Student in an Organized Health Care Education/Training Program | Shaheed Tayar St, Zagazig, AL SHARKEYA 44511 | 2020-04-25 |
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1437671856 | Tyisha J Williams | Home Health | 2704 Volney Rd, Youngstown, OH 44511 | 2017-07-07 |
| 1831584234 | Tamara Ann Ramsey | Home Health Aide | 3634 Cascade Dr., Youngstown, OH 44511 | 2015-04-02 |
| 1679919153 | Amy Sue Lutz | Licensed Practical Nurse | 3970 Chaucer Ln, Youngstown, OH 44511 | 2013-05-10 |
| 1366622342 | Professional Rehab Services Inc | Physical Therapist | 4199 Kirk Rd, Youngstown, OH 44511 | 2007-11-07 |
| 1407077357 | Tamy D Mcbride | Home Health Aide | 3631 Dover Rd, Youngstown, OH 44511 | 2007-05-01 |
| 1619058229 | Joseph Michael Malys | Dentist | 3415 Canfield Rd, Youngstown, OH 44511 | 2006-10-18 |
| 1689695306 | Jennifer Lynn Flo | Podiatrist | 3507 Canfield Rd Ste 7, Youngstown, OH 44511 | 2006-07-21 |
| 1255396040 | James R Hovell | Dentist | 361 W Indianola, Youngstown, OH 44511 | 2006-04-18 |
| Find all providers in zip 44511 | ||||
| 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 |
|---|---|---|---|---|
| 1689007965 | Garret M Connors | Podiatrist | 4282 Lake Rd, Youngstown, OH 44511-1842 | 2013-08-09 |
| 1326247354 | Johnny Alayon | Podiatrist | 8175 Market St., Ankle and Foot Care Centers, Youngstown, OH 44512 | 2007-07-11 |
| 1518080811 | Derrick O'neal Jackson | Podiatrist | 1201 Belmont Ave, Youngstown, OH 44504-1101 | 2007-04-09 |
| 1770692766 | Phillip E. Balmenti, James S. Tavolario & Gene J. Pusateri Ptr | Podiatrist | 1633 Mcguffey Rd, Youngstown, OH 44505-3471 | 2006-08-30 |
| 1689695306 | Jennifer Lynn Flo | Podiatrist | 3507 Canfield Rd Ste 7, Youngstown, OH 44511 | 2006-07-21 |
| 1457399222 | John F Kunkel | Podiatrist | 518 Glacier Heights Rd, Youngstown, OH 44509-1920 | 2006-06-03 |
| 1114997871 | Louis Michael Chiaro | Podiatrist | 7629 Market Street, Suite 100, Youngstown, OH 44460-2914 | 2006-01-25 |
| 1710957626 | Phillip E Balmenti | Podiatrist | 827 Mckay Ct, Youngstown, OH 44512-5790 | 2006-01-24 |
| 1649270091 | Eugene Joseph Pusateri | Podiatrist | 80 E Midlothian Blvd, Youngstown, OH 44507-2019 | 2005-07-28 |
| 1124299466 | Heather A. Petrolla | Podiatrist | 3507 Canfield Rd, Suite 7, Youngstown, OH 44511-2859 | 2008-03-14 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44511 |
Please comment or provide details below to improve the information on ANGELO F. PETROLLA DPM.
| 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.