Andrew J Diller (NPI# 1982879680, PAC ID# 3375720758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1982879680 |
| PAC ID by PECOS | 3375720758 |
| Professional Enrollment ID | I20110613000292 |
| Full Name | Andrew J Diller |
| Organization Legal Name | PODIATRY INC |
| Address |
9630 Ravenna Rd Suite 300 Twinsburg OH 44087-6812 |
| Phone Number | 2162451290 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6507936671 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360230 | HILLCREST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 | 2162451290 | PODIATRY INC |
| 9630 Ravenna Rd, Suite 300, Twinsburg, OH 44087-6812 | 2162451290 | PODIATRY INC |
| Organization Legal Name | PODIATRY INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Kelty | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Jacqueline M Tulodzieski | Podiatry | Podiatry Inc | 116 E Ave, Tallmadge, OH 44278-2300 |
| Joseph Angelo Favazzo | Podiatry | Podiatry Inc | 8382 Mentor Ave, Mentor, OH 44060-5748 |
| Christopher Andrew Tulodzieski | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Michael W Forman | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Edward J Floyd | Podiatry | Podiatry Inc | 3733 Park E Dr, Beachwood, OH 44122-4337 |
| Street Address |
9630 RAVENNA RD SUITE 300 |
| City | TWINSBURG |
| State | OH |
| Zip | 44087-6812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul William Bizjak | Chiropractic | 9630 Ravenna Rd, Suite 100, Twinsburg, OH 44087-6812 | |
| Edward Joseph Nemet Iii | Podiatry | 9630 Ravenna Rd, Suite 300, Twinsburg, OH 44087-6812 | |
| Andrew T Brady | Chiropractic | Family Chiropractic Center, Inc | 9630 Ravenna Rd, Suite 100, Twinsburg, OH 44087-6812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mila Davidovic | Podiatry | 10828 Ravenna Rd, Twinsburg, OH 44087-1058 | |
| Phyllis Lisa Iannuzzi | Rheumatology | 10828 Ravenna Rd, Twinsburg, OH 44087-1058 | |
| Deanna M Roberson | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 10085 Darrow Rd, Twinsburg, OH 44087-1409 |
| Sarbjit Kaur | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 10085 Darrow Rd, Twinsburg, OH 44087-1409 |
| Russell Wang | Maxillofacial Surgery | 10568 Ravenna Rd, Suite 5, Twinsburg, OH 44087-1654 | |
| Jeanne Marie Knotek | Obstetrics/gynecology | South Suburban Women's Center | 9105 Darrow Rd, Twinsburg, OH 44087-1821 |
| William F Grossman | Obstetrics/gynecology | South Suburban Women's Center | 9105 Darrow Rd, Twinsburg, OH 44087-1821 |
| John J Farinacci | Obstetrics/gynecology | South Suburban Women's Center | 9105 Darrow Rd, Twinsburg, OH 44087-1821 |
| David Jonathan Hunyady | Optometry | 9224 Darrow Rd, Suite N, Twinsburg, OH 44087-1891 | |
| Mark P Pace | Cardiovascular Disease (cardiology) | The Cleveland Clinic Foundation | 8701 Darrow Rd, Twinsburg, OH 44087-2105 |
| Find all physicians in zip 44087 | |||
| City | TWINSBURG |
| Zip Code | 44087 |
| Specialty | PODIATRY |
| City + Specialty | TWINSBURG + PODIATRY |
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| 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.