Kathleen Marie Graytock (NPI# 1952355034, PAC ID# 9234163684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1952355034 |
| PAC ID by PECOS | 9234163684 |
| Professional Enrollment ID | I20110204000063 |
| Full Name | Kathleen Marie Graytock |
| Organization Legal Name | BERRY LEAF FOOT AND ANKLE CENTER LTD |
| Address |
1660 Nw Prof Plz Suite K Columbus OH 43220-3854 |
| Phone Number | 6144574774 |
| Gender | F |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8820022247 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1660 Nw Prof Plz, Suite K, Columbus, OH 43220-3854 | 6144574774 | BERRY LEAF FOOT AND ANKLE CENTER LTD |
| Organization Legal Name | BERRY LEAF FOOT AND ANKLE CENTER LTD |
| Physicians | 1 |
| Street Address |
1660 NW PROF PLZ SUITE K |
| City | COLUMBUS |
| State | OH |
| Zip | 43220-3854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald L Freidenberg | Neurology | 2121 Bethel Rd, Suite F, Columbus, OH 43220-1804 | |
| Michelle C Chambers | Dermatology | Forefront Dermatology Sc | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 |
| Derek E Kues | Physician Assistant | Forefront Dermatology Sc | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 |
| John William Wulf | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 5202 Bethel Reed Park, Suite 100, Columbus, OH 43220-1818 |
| Emily A Peters | Registered Dietitian Or Nutrition Professional | Central Ohio Primary Care Physicians, Inc. | 5202 Bethel Reed Park, Suite 100, Columbus, OH 43220-1818 |
| Robert K May | Family Medicine | Central Ohio Nutrition Center Inc | 1904 Bethel Rd, Columbus, OH 43220-1864 |
| Mary C Friend | Nurse Practitioner | Central Ohio Nutrition Center Inc | 1904 Bethel Rd, Columbus, OH 43220-1864 |
| Deanna E Kunkel | Nurse Practitioner | Central Ohio Nutrition Center Inc | 1904 Bethel Rd, Columbus, OH 43220-1864 |
| Jody M Riley | Registered Dietitian Or Nutrition Professional | Central Ohio Nutrition Center Inc | 1904 Bethel Rd, Columbus, OH 43220-1864 |
| John Thomas Broyles | Family Medicine | Central Ohio Nutrition Center Inc | 1904 Bethel Rd, Columbus, OH 43220-1864 |
| Find all physicians in zip 43220 | |||
| City | COLUMBUS |
| Zip Code | 43220 |
| Specialty | PODIATRY |
| City + Specialty | COLUMBUS + 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.