KSU FOOT & ANKLE CLINIC (NPI# 1730441254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730441254 |
Entity Type | Organization |
Organization Name | KSU FOOT & ANKLE CLINIC |
Other Organization Name | CLEVELAND FOOT & ANKLE CLINIC |
Practice Address |
7000 Euclid Ave Cleveland OH 44103-4014 |
Practice Telephone | 2162315612 |
Mailing Telephone | 2162315612 |
Enumeration Date | 2012-06-11 |
Last Update Date | 2015-01-06 |
Authorized Official Name | RICHARD DIBACCO (DIRECTOR) |
Authorized Official Telephone | 8144747499 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
Cleveland Foot & Ankle Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265793111 | Ksu Foot & Ankle Clinic | Podiatrist | 6000 Rockside Woods Blvd N, Independence, OH 44131-2330 | 2012-06-06 |
Street Address |
7000 EUCLID AVE |
City | CLEVELAND |
State | OH |
Zip Code | 44103-4014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124024328 | Kathy Siesel | Podiatrist | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 | 2005-06-22 |
1962867275 | Cleveland Vamc | Clinic/Center | 7000 Euclid Ave, Suites 102 and 202, Cleveland, OH 44103-4014 | 2015-12-31 |
1396024477 | Duane Joseph Ehredt Jr. | Podiatrist | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 | 2011-08-08 |
1740598481 | Celestia G. Johnson | Dietitian, Registered | 7000 Euclid Ave, Cleveland, OH 44103-4014 | 2010-09-15 |
1083810485 | Marie Mantini Blazer | Podiatrist | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 | 2007-06-22 |
1053362236 | Rocco Anthony Petrozzi Jr. | Podiatrist | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 | 2006-05-13 |
1770589004 | Scott Alan Spencer | Podiatrist | 7000 Euclid Ave, Suite 101, Cleveland, OH 44103-4014 | 2005-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
Find all providers in zip 44103 |
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 |
---|---|---|---|---|
1265896500 | Lisa Fuchs | Podiatrist | 10701 East Blvd. W112, Cleveland, OH 44106 | 2016-04-13 |
1336468446 | Madison Lee Podiatry, Inc | Podiatrist | 6502 Detroit Ave, Cleveland, OH 44102-3014 | 2010-05-28 |
1770680357 | Jeffrey D Solomon | Podiatrist | 6131 Saint Clair Ave, Cleveland, OH 44103-1627 | 2006-09-17 |
1306957162 | Stephen Paul Smik | Podiatrist | 3386 Warren Rd, Cleveland, OH 44111-2031 | 2006-08-31 |
1942229034 | Stanley Beekman | Podiatrist | 13333 Lorain Ave, 13333 Lorain Ave, Cleveland, OH 44111-3400 | 2006-07-19 |
1942241419 | Cheryl E. Chilton | Podiatrist | 2916 Central Ave, Cleveland, OH 44115-3229 | 2006-06-08 |
1366406423 | Patrick J Mckee | Podiatrist | 9500 Euclid Ave # Deska40, Cleveland, OH 44195-0001 | 2006-04-14 |
1427019074 | Faried Muntaser | Podiatrist | 11602 Kinsman Rd, Cleveland, OH 44120-4318 | 2006-03-31 |
1578547238 | Richard Lee Baker | Podiatrist | 2850 Ocoee St N, Bradley Family Foot Care Ste 1, Cleveland, TN 37312-5385 | 2005-12-05 |
1316945884 | Morris Tyrone Haywood | Podiatrist | 4415 Euclid Ave, #110, Cleveland, OH 44103 | 2005-07-08 |
Find all providers in CLEVELAND |
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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.