OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC (NPI# 1861898272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861898272 |
| Entity Type | Organization |
| Organization Name | OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC |
| Practice Address |
163 W Main St Andover OH 44003-9319 |
| Mailing Address |
8175 Market St Youngstown OH 44512-6244 |
| Practice Telephone | 4402936765 |
| Practice Fax Number | 4402936879 |
| 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 |
163 W MAIN ST |
| City | ANDOVER |
| State | OH |
| Zip Code | 44003-9319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295906691 | Angelo F. Petrolla | Podiatrist | 163 W Main St, Andover, OH 44003-0298 | 2008-03-13 |
| 1538635347 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 163 W Main St, Andover, OH 44003-9319 | 2018-10-18 |
| 1528498417 | Ankle and Foot Care Centers | Podiatrist | 163 W Main St, Andover, OH 44003-9319 | 2013-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362669 | Barbara Marie Fusselman | Homemaker | 6643 First Ave., Andover, OH 44003 | 2020-09-30 |
| 1730461617 | Lori Nanette Patterson | Registered Nurse | Us Route 6, Andover, OH 44003 | 2011-09-15 |
| 1972759538 | Nicole Lynn Onderko | Community Health Worker | Andover Village Retirement Center 486 South Main Street, Andover, OH 44003 | 2008-08-14 |
| 1790931863 | Charles Wayne Swartz Jr. | Physical Therapy Assistant | 486 South Main Street, Andover Village Retirement Center, Andover, OH 44003 | 2008-08-08 |
| 1962658047 | Jay Edward Paxton | Community Health Worker | Avrc 486 South Main Street, Andover, OH 44003 | 2008-08-08 |
| 1356526529 | Brenda Lee Lipps | Licensed Practical Nurse | 6597 St Rt 7, Andover, OH 44003 | 2008-01-07 |
| 1639389000 | Kimberly Marie Wisnyai | Occupational Therapy Assistant | 5531 Us Rt 6, Andover, OH 44003 | 2007-05-23 |
| 1962610568 | Darlene A. Patton | Occupational Therapist | 5531 State Rt. 6, Andover, OH 44003 | 2007-05-18 |
| 1730303397 | Stacey Renee Chess | Occupational Therapist | 5531 State Route 6, Andover, OH 44003 | 2007-04-12 |
| 1316036205 | Edward J. Pollander | Dentist | 6258 East Main St, Andover, OH 44003 | 2006-10-11 |
| Find all providers in zip 44003 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| 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 | ||||
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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.