IAN AVEYTUA (NPI# 1215323084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215323084 |
| Entity Type | Individual |
| Full Name | IAN AVEYTUA |
| Credential | D.P.M. |
| Practice Address |
805 Farson St Ste 113 Belpre OH 45714 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7404233207 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36.003882 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0308535 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 310 W Union St Ste 102, Athens, OH 457012312 | 7405893044 | 7405893045 |
| 805 Farson St Ste 110, Belpre, OH 457141000 | 7404233208 | 7404233216 |
| 400 Matthew St Ste 210, Marietta, OH 457501656 | 7403735410 | 7403735470 |
| 401 Matthew St, Marietta, OH 457501635 | 7403741623 | 7405685335 |
| Street Address |
805 FARSON ST STE 113 |
| City | BELPRE |
| State | OH |
| Zip Code | 45714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386055614 | Timothy M. Graham | Podiatrist | 805 Farson St Ste 113, Belpre, OH 45714-1000 | 2014-05-08 |
| 1508391533 | Nicholas Vincent Dimassa | Podiatrist | 805 Farson St Ste 113, Belpre, OH 45714-1000 | 2017-04-27 |
| 1043688682 | Garrett S. Kerr | Physician Assistant | 805 Farson St Ste 113, Belpre, OH 45714-1000 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144732348 | Hopewell Health Centers Inc | Clinic/Center | 2343 Richmiller Ln, Suite F, Belpre, OH 45714 | 2017-10-27 |
| 1851752448 | Belpre Landing Nursing & Rehabilitation, Inc. | Skilled Nursing Facility | 1915 Hill Street, Belpre, OH 45714 | 2016-03-10 |
| 1215341326 | Dean J Kerenick | Emergency Medicine | 799 Farson Street, Emergency Department, Belpre, OH 45714 | 2014-06-17 |
| 1447664545 | Andrea Renee Williams | Emergency Medicine | 799 Farson St - Emergency Department, Belpre, OH 45714 | 2014-06-17 |
| 1851640460 | Kimberly Dianne Williams | Nurse Practitioner | 805 Farson Street, Suite 112, Belpre, OH 45714 | 2012-08-29 |
| 1790072429 | Curtis Lyle Sykes | Physical Therapist | 809 Farson St., Suite 105, Belpre, OH 45714 | 2011-07-01 |
| 1457477614 | Belpre Medical Clinic Inc | Family Medicine | 206 Maple Street, Belpre, OH 45714 | 2007-03-21 |
| 1467528281 | Brian Christopher Eaton | Chiropractor | 203 Maple St, Belpre, OH 45714 | 2006-11-24 |
| 1164537965 | Poole & Griffith Dds | Dentist | 218 Maple Street, Belpre, OH 45714 | 2006-08-20 |
| 1851315204 | Johnny C Piersol | Chiropractor | 517 Main Street, Belpre, OH 45714 | 2006-07-27 |
| Find all providers in zip 45714 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386055614 | Timothy M. Graham | Podiatrist | 805 Farson St Ste 113, Belpre, OH 45714-1000 | 2014-05-08 |
| 1508391533 | Nicholas Vincent Dimassa | Podiatrist | 805 Farson St Ste 113, Belpre, OH 45714-1000 | 2017-04-27 |
| 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.