PERFORMANCE PODIATRY, INC. (NPI# 1376829739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376829739 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE PODIATRY, INC. |
| Practice Address |
6350 Glenway Ave Suite 301 Cincinnati OH 45211-6378 |
| Mailing Address |
10475 Reading Rd Suite 404 Cincinnati OH 45241-2563 |
| Practice Telephone | 5135636228 |
| Practice Fax Number | 5135777261 |
| Mailing Telephone | 5135636228 |
| Mailing Fax Number | 5135777261 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |
| Authorized Official Name | DR. RODNEY W ROOF (PRESIDENT) |
| Authorized Official Telephone | 5135636228 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36003134 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3075872 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114223666 | Performance Podiatry, Inc. | Podiatrist | 2859 Boudinot Avenue, Suite 107, Cincinnati, OH 45238-0000 | 2011-02-01 |
| Street Address |
6350 GLENWAY AVE SUITE 301 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45211-6378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728626 | Roshni Shetty | Internal Medicine | 6350 Glenway Ave, Suite 400, Cincinnati, OH 45211-6378 | 2005-05-30 |
| 1912384058 | Eric Tungol | Nurse Practitioner | 6350 Glenway Ave, Suite 305, Cincinnati, OH 45211-6378 | 2015-04-28 |
| 1053717025 | Kadi Carmosino | Physical Therapist | 6350 Glenway Ave, Ste 415, Cincinnati, OH 45211-6378 | 2014-11-18 |
| 1104249051 | Mercy Health Physicians Cincinnati LLC | Durable Medical Equipment & Medical Supplies | 6350 Glenway Ave, Suite 415, Cincinnati, OH 45211-6397 | 2014-01-29 |
| 1104248129 | Kimberly Kay Benkner | Nurse Practitioner | 6350 Glenway Ave, Cincinnati, OH 45211-6378 | 2014-01-09 |
| 1346670866 | Trihealth Os, LLC | Orthopaedic Surgery | 6350 Glenway Ave, Suite 400, Cincinnati, OH 45211-6378 | 2013-11-19 |
| 1306289541 | Patrick J Massa | Family Medicine | 6350 Glenway Ave, Suite 205, Cincinnati, OH 45211-6378 | 2013-04-08 |
| 1912258963 | Lisa Michelle Byrd | Nurse Practitioner | 6350 Glenway Ave, Suite 400, Cincinnati, OH 45211-6378 | 2012-09-29 |
| 1497017990 | Stephanie Manolis | Obstetrics & Gynecology | 6350 Glenway Ave, Suite 401, Cincinnati, OH 45211-6378 | 2012-06-11 |
| 1275800237 | Family Foot & Ankle Center Inc Pa | Podiatrist | 6350 Glenway Ave, Suite 301, Cincinnati, OH 45211-6378 | 2011-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649772666 | Holly Hornfeck | Case Manager/Care Coordinator | 3030 West Fork Rd, Cincinnati, OH 45211 | 2018-03-06 |
| 1972029890 | Patrick Maurice Lee-mitchell Sr. | Assisted Living Facility | 3403 Mayfair Ave, Cincinnati, OH 45211 | 2017-08-22 |
| 1902321847 | Tracey M Howard | Licensed Practical Nurse | 2661 Westwood Northern Blvd, Cincinnati, OH 45211 | 2017-08-11 |
| 1740712900 | Kenya Railey | Social Worker | 3325 Glenmore Avwe, Cincinnati, OH 45211 | 2017-03-28 |
| 1942742978 | Benjamin Allen Barnes | Nurse Practitioner | 3300 Mercy Health Blvd., Cincinnati, OH 45211 | 2016-11-08 |
| 1720530132 | Kandise Cook | Licensed Vocational Nurse | 2610 Morningdale Ct, Cincinnati, OH 45211 | 2016-11-02 |
| 1942759659 | Jasmine L Williams | Technician | 2813 Temple Ave, Apt 1, Cincinnati, OH 45211 | 2016-09-23 |
| 1528465457 | Continuous Living Inc. | Point of Service | 3516 Harrison Ave Suit B, Cincinnati, OH 45211 | 2014-11-20 |
| 1144620865 | Marlo Herring | Home Health Aide | 2864 Shaffer Ave, Cincinnati, OH 45211 | 2014-08-29 |
| 1578981759 | Healing Hands Health Care Service, LLC | In Home Supportive Care | 2915 Wardall Avenue, Cincinnati, OH 45211 | 2014-04-03 |
| Find all providers in zip 45211 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275065476 | Anusha Iyer | Podiatrist | 3248 Westbourne Dr Ste 1, Cincinnati, OH 45248-5146 | 2017-03-28 |
| 1457770703 | Timothy Craig Wylie | Podiatrist | 10475 Reading Rd Ste 308, Cincinnati, OH 45241 | 2014-04-15 |
| 1952433203 | Shawn William Walls | Podiatrist | 5463 N Bend Rd, Cincinnati, OH 45247-7620 | 2007-03-12 |
| 1760576573 | Podiatry Associates of Cincinnati Inc. | Podiatrist | 3434 Michigan Ave, Cincinnati, OH 45208-2102 | 2006-10-03 |
| 1629162417 | Podiatry Associates of Cincinnati Inc | Podiatrist | 4357 Ferguson Dr Ste 150, Cincinnati, OH 45245-1760 | 2006-10-03 |
| 1356435150 | Podiatry Associates of Cincinnati Inc. | Podiatrist | 10615 Montgomery Rd Ste 100, Cincinnati, OH 45242-4460 | 2006-10-03 |
| 1871578138 | Richard H. Lowstuter | Podiatrist | 4973 Glenway Ave, Cincinnati, OH 45238-3907 | 2005-12-09 |
| 1487638078 | Centers for Foot & Ankle Care, LLC | Podiatrist | 1113 Fehl Ln, Cincinnati, OH 45230-4349 | 2005-12-06 |
| 1235113895 | Chad Alan Miller | Podiatrist | 3248 Westbourne Dr, Cincinnati, OH 45248-5140 | 2005-12-06 |
| 1053395053 | Centers for Foot & Ankle Care LLC | Podiatrist | 8621 Winton Road, Cincinnati, OH 45231 | 2005-12-02 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45211 |
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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.