DYNAMIC FOOT CARE LLC (NPI# 1700076403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700076403 |
| Entity Type | Organization |
| Organization Name | DYNAMIC FOOT CARE LLC |
| Other Organization Name | DYNAMIC FOOT CARE LLC |
| Practice Address |
585 White Pond Dr Suite E Akron OH 44320-1115 |
| Practice Telephone | 3308690669 |
| Practice Fax Number | 3308695769 |
| Mailing Telephone | 3308690669 |
| Mailing Fax Number | 3308695769 |
| Enumeration Date | 2007-07-29 |
| Last Update Date | 2015-05-15 |
| Authorized Official Name | FELICIA ANN JOHNSON (PODIATRIST) |
| Authorized Official Telephone | 3308690669 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36.003438 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2769526 | 05 |
| Other Name | Type Code |
|---|---|
| DYNAMIC FOOT CARE LLC | Doing Business As Name - Organization |
| Street Address |
585 WHITE POND DR SUITE E |
| City | AKRON |
| State | OH |
| Zip Code | 44320-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887809 | James Kenneth Davis | Obstetrics & Gynecology | 585 White Pond Dr, Ste C, Akron, OH 44320-1115 | 2005-08-10 |
| 1588291835 | Geoffrey Kurt Swanson | Physical Therapist | 585 White Pond Dr, Akron, OH 44320-1115 | 2020-03-26 |
| 1548897754 | Susan M Light | Occupational Therapist | 585 White Pond Dr, Akron, OH 44320-1115 | 2020-03-26 |
| 1558754556 | Emma Rose Fish | Physical Therapist | 585 White Pond Dr, Akron, OH 44320-1115 | 2015-03-15 |
| 1235278219 | Felicia Ann Johnson | Podiatrist | 585 White Pond Dr, Suite E, Akron, OH 44320-1115 | 2007-02-06 |
| 1083772073 | Nancy Lee Houck | Social Worker | 585 White Pond Dr, Suite E, Akron, OH 44320-1115 | 2006-12-04 |
| 1720153596 | Bernadette Kiel | Counselor | 585 White Pond Dr, Suite E, Akron, OH 44320-1115 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628425 | Adrian Hooks | Home Health | 1300 West Market, Akron, OH 44320 | 2019-03-19 |
| 1962979609 | Jeanean Marie Clark | Case Manager/Care Coordinator | 825 Mercer Avenue, Akron, OH 44320 | 2018-10-31 |
| 1205320108 | Dwynica S Pendleton | Case Manager/Care Coordinator | 1176 Cordova Ave, Akron, OH 44320 | 2018-06-15 |
| 1497247902 | Baron Kenley Rogers | Student in an Organized Health Care Education/Training Program | Minority Behavioral Health Group, 1293 Copley Rd, Akron, OH 44320 | 2018-05-31 |
| 1750871513 | Maria Hardgrove | Social Worker | 2279 Romig Rd., Akron, OH 44320 | 2018-05-16 |
| 1043728652 | Asya Michelle Tipton | Nurse's Aide | 852 Delia, Akron, OH 44320 | 2018-01-17 |
| 1669990487 | Rhonda Renee Riddle | Community Health Worker | 308 S Portage Path, Akron, OH 44320 | 2017-08-31 |
| 1467992487 | Rodney Sheppard | Nurse's Aide | 471 White Pond Drive, Apt 604, Akron, OH 44320 | 2017-02-24 |
| 1033571740 | Bernard Taylor | Counselor | 2180 Romig Rd, Akron, OH 44320 | 2016-03-22 |
| 1093173718 | Brittany Stephens | Nurse's Aide | 1207 Greenwood Ave, Akron, OH 44320 | 2016-02-09 |
| Find all providers in zip 44320 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588829212 | Dr. Richard M. Hofacker, Inc. | Podiatrist | 50 Sand Run Rd, Akron, OH 44313-6200 | 2008-07-22 |
| 1932232170 | Jeffrey Michael Spector | Podiatrist | 431 Lake of The Woods Blvd, Akron, OH 44333-2791 | 2007-03-14 |
| 1790812188 | Kenneth Allan Shane | Podiatrist | 3381 Montrose Avenue, Akron, OH 44333-2411 | 2007-02-27 |
| 1184725020 | Richard Kent Marcott | Podiatrist | 1261 Sand Run Rd, Akron, OH 44313-4741 | 2006-09-25 |
| 1306894365 | Carl David Horowitz | Podiatrist | 1400 S Arlington St Unit 38, Akron, OH 44306-3771 | 2006-05-04 |
| 1356319917 | Richard Michael Hofacker | Podiatrist | 50 Sand Run Road, Akron, OH 44313 | 2006-03-09 |
| 1811979446 | Gary J Volfre | Podiatrist | 2040 E Market St, Akron, OH 44312-1100 | 2005-11-18 |
| 1124565312 | Laser Foot Care Center Inc | Podiatrist | 2495 Olentangy Dr, Akron, OH 44333-2831 | 2017-01-25 |
| 1871803700 | Reed Graham Dpm Inc | Podiatrist | 696 Canton Rd Ste 1, Akron, OH 44312-2632 | 2010-10-13 |
| 1962677575 | Mark H Koltnow Dpm Inc | Podiatrist | 550 E Market St, Ste 205, Akron, OH 44304-1613 | 2008-04-24 |
| Find all providers in AKRON | ||||
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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.