OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI# 1487050886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487050886 |
| Entity Type | Organization |
| Organization Name | OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
| Practice Address |
500 Gypsy Ln Suite 201 Youngstown OH 44504-1315 |
| Mailing Address |
8175 Market St Youngstown OH 44512-6244 |
| Practice Telephone | 3307474888 |
| Practice Fax Number | 3308840514 |
| Mailing Telephone | 3306298800 |
| Mailing Fax Number | 3307584914 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | LAWRENCE DIDOMENICO (MANAGING PARTNER) |
| Authorized Official Telephone | 3306298800 |
| 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 | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043617020 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 5925 N. Main St., Suite D, Dayton, OH 45415-3142 | 2014-11-19 |
| 1497152474 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2207 Olympic Ave., Springfield, OH 45503-2725 | 2014-11-19 |
| 1093111080 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1911 N. Fairfiled Rd, Suite 210, Beavercreek, OH 45432-2754 | 2014-11-18 |
| 1003204967 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 7529 State Rd, Suite B, Cincinnati, OH 45255-6409 | 2014-12-30 |
| 1265830566 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1275 Olentangy River Rd, Suite 120, Columbus, OH 43212-3119 | 2014-12-18 |
| 1508264680 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 5757 Monclova Rd, Suite 5, Maumee, OH 43537-1863 | 2014-12-05 |
| 1134526395 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 26151 Euclid Ave, Euclid, OH 44132-3322 | 2014-12-03 |
| 1699172908 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3 Greenville Orthopedic Ctr, Greenville, PA 16125-1210 | 2014-12-02 |
| 1295132793 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 3731 Pearl Rd, Cleveland, OH 44109-2750 | 2014-11-26 |
| 1710384516 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 4041 N High St, Ste. 101, Columbus, OH 43214-3247 | 2014-11-24 |
| Street Address |
500 GYPSY LN SUITE 201 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44504-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838497 | Pediatric Imaging Associates, LLC | Specialist | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2005-06-01 |
| 1245899772 | Eric Laurence Trevizo | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-06-09 |
| 1891258968 | Shyam Krishna Poudel | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-04-07 |
| 1518429711 | Allen Tsai | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-04-05 |
| 1174084420 | Poonam Nayyer Choudhry | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1093276552 | Brittany Raisa Cools-lartigue | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-27 |
| 1104386176 | Noha Nabil Nasif Soror | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-25 |
| 1871053223 | Jakob Anthony Weaver | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-21 |
| 1245790807 | Emma Sayre | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-20 |
| 1639638596 | Erik Sven Coopes | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
| 1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
| 1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
| 1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
| 1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
| 1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| Find all providers in zip 44504 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206875 | David D Dull | Podiatrist | 4442 Logan Way, Youngstown, OH 44505-1739 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023361318 | Lara S Poduska Dpm LLC | Podiatrist | 24816 Aurora Rd Ste A, Bedford Heights, OH 44146-6908 | 2012-10-24 |
| 1598037467 | David L. Beatty Dpm PC | Podiatrist | 125 N Water St, Paulding, OH 45879-1245 | 2012-02-07 |
| 1750677829 | Elizabeth Gero | Podiatrist | 10701 East Blvd # 112bw, Cleveland, OH 44106-1702 | 2011-06-27 |
| 1841433703 | Home Visit Podiatrists, Inc. | Podiatrist | 2010 Wayland Ave, Cincinnati, OH 45212-3708 | 2009-04-08 |
| 1023250248 | Podiatry Home Health Care | Podiatrist | 5683 Pearl Rd, Parma, OH 44129-2528 | 2009-04-02 |
| 1982850525 | Richard A Raabe Dpm Inc | Podiatrist | 128 Wertz Ave Nw Ste A, Canton, OH 44708 | 2008-08-14 |
| 1225214125 | Louis L. Endress Dpm | Podiatrist | 2914 Cleveland Rd, Wooster, OH 44691-1655 | 2008-01-10 |
| 1457533622 | James D. Robinette, Dpm, Inc. | Podiatrist | 5932 Colerain Ave, Cincinnati, OH 45239-6414 | 2007-11-29 |
| 1336352038 | Laser Foot Care Center, Inc | Podiatrist | 2495 Olentangy Dr, Akron, OH 44333-2831 | 2007-05-08 |
| 1932237922 | Thomas Joseph Javorsky | Podiatrist | 1400 S Hubbard Rd, Lowellville, OH 44436-9411 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
Please comment or provide details below to improve the information on OHIO PODIATRIC PHYSICIANS AND SURGEONS 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.