Heather Petrolla (NPI# 1740272897, PAC ID# 0446216352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1740272897 |
| PAC ID by PECOS | 0446216352 |
| Professional Enrollment ID | I20041202000603 |
| Full Name | Heather Petrolla |
| Organization Legal Name | ANKLE AND FOOT CARE CENTERS |
| Address |
1265 Boardman Canfield Rd Youngstown OH 44512-4004 |
| Phone Number | 3307588808 |
| Gender | F |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7618865874 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| 360161 | ST JOSEPH WARREN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2120 W State St, Alliance, OH 44601-3527 | 3308234455 | ANKLE AND FOOT CARE CENTERS |
| 1265 Boardman Canfield Rd, Youngstown, OH 44512-4004 | 3307588808 | ANKLE AND FOOT CARE CENTERS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Organization Legal Name | ANKLE AND FOOT CARE CENTERS |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irina Gross | Podiatry | Ankle and Foot Care Centers | 4696 Mahoning Ave Nw, Warren, OH 44483-1419 |
| Priya Samant | Podiatry | Ankle and Foot Care Centers | 1450 S Canfield Niles Rd, Youngstown, OH 44515-4083 |
| Street Address |
1265 BOARDMAN CANFIELD RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44512-4004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay Marie Lorenzo | Physical Therapy | Ohio Sports and Spine Institute, Ltd | 1265 Boardman Canfield Rd, Boardman, OH 44512-4004 |
| M Maureen Fogarty | Qualified Speech Language Pathologist | Ohio Sports and Spine Institute, Ltd | 1265 Boardman Canfield Rd, Boardman, OH 44512-4004 |
| Joseph Cerimele | Physical Medicine and Rehabilitation | Ohio Sports and Spine Institute, Ltd | 1265 Boardman Canfield Rd, Boardman, OH 44512-4004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
| Specialty | PODIATRY |
| City + Specialty | YOUNGSTOWN + PODIATRY |
Please comment or provide details below to improve the information on Heather Petrolla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.