TRI-COUNTY FOOT AND ANKLE CENTER INC (NPI# 1477715845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477715845 |
Entity Type | Organization |
Organization Name | TRI-COUNTY FOOT AND ANKLE CENTER INC |
Other Organization Name | TIMOTHY D. KISTLER, DPM |
Practice Address |
614 W Lytle St Fostoria OH 44830-3422 |
Practice Telephone | 4194353554 |
Mailing Telephone | 4194353554 |
Enumeration Date | 2008-06-27 |
Last Update Date | 2013-12-03 |
Authorized Official Name | MR. TIMOTHY D. KISTLER (PRESIDENT) |
Authorized Official Telephone | 4194353554 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | OH36003099 | OH | Suppliers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
OH36003099 | OH | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ANTHEM BLUE CROSS BLUE SHIELD | 000000141026 | 01 |
OH | MEDICARE RR | 480026415 | 01 |
OH | 2092239 | 05 | |
OH | MEDICAL MUTUAL OF OHIO | 272741141003 | 01 |
Other Name | Type Code |
---|---|
Timothy D. Kistler, DPM | Doing Business As Name - Organization |
Street Address |
614 W LYTLE ST |
City | FOSTORIA |
State | OH |
Zip Code | 44830-3422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700863412 | Timothy Dean Kistler | Podiatrist | 614 W Lytle St, Fostoria, OH 44830-3422 | 2005-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801260708 | Lauren Hoying | Specialist/Technologist | 10443 W State Route 18, Fostoria, OH 44830 | 2015-11-16 |
1841698982 | Jane Volpe | Occupational Therapist | 1309 West Ridge Dr, Fostoria, OH 44830 | 2014-12-05 |
1780959916 | Erica Suzanne Depinet | Occupational Therapist | 455 West Fourth St., Suite 010, Fosteria, OH 44830 | 2012-03-21 |
1598046716 | Sarah Dannenberger | Nursing Care | 4175 N Us Highway 23, Fostoria, OH 44830 | 2011-09-01 |
1982915138 | Jeanne Bohm | Family Medicine | Promedica Fostoria Community Hospital, 501 Van Buren St, Fostoria, OH 44830 | 2010-06-23 |
1588709687 | Promedica South Physicians, LLC | Pediatrics | 801 Kirk Street, Suite 3, Fostoria, OH 44830 | 2007-02-20 |
1487714606 | Tim Arthur Beidelschies | Family Medicine | 217 N Countyline St, Fostoria, OH 44830 | 2006-12-11 |
1396804852 | Steven D Lehmann | Chiropractor | 231 W Tiffin St, Fostoria, OH 44830 | 2006-12-08 |
1619064177 | Fostoria Eyecare Inc | Optometrist | 799 N Vine St, Fostoria Eyecare Inc, Fostoria, OH 44830 | 2006-10-06 |
1730274945 | Michael D. Hipsher | Optometrist | 622 Parkway Dr., Fostoria, OH 44830 | 2006-10-04 |
Find all providers in zip 44830 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
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.