DR. SALLY CARABALLO


Address: 55 N Central Ave, Suite 3, Fairborn, OH 45324-5087
Phone: 9378782800

DR. SALLY CARABALLO (NPI# 1659363471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659363471
Entity Type Individual
Full Name DR. SALLY CARABALLO
Credential D.P.M.
Practice Address 55 N Central Ave
Suite 3
Fairborn
OH 45324-5087
Practice Telephone 9378782800
Practice Fax Number 9378787261
Mailing Telephone 9378782800
Mailing Fax Number 9378787261
Enumeration Date 2005-08-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
2815 OH Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0173726 05

Office Location

Street Address 55 N CENTRAL AVE
SUITE 3
City FAIRBORN
State OH
Zip Code 45324-5087

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1194277582 Derrick Bark Specialist/Technologist 85 Old Yellow Springs Rd, Fairborn, OH 45324 2016-11-01
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City FAIRBORN
Zip Code 45324

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Dataset Information

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.

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