1477978955 NPI number — PRESTIGE FOOT & ANKLE CENTER LLC

Table of content: (NPI 1477978955)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477978955 NPI number — PRESTIGE FOOT & ANKLE CENTER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRESTIGE FOOT & ANKLE CENTER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477978955
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
784 MEDINA RD
Provider Second Line Business Mailing Address:
107
Provider Business Mailing Address City Name:
MEDINA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44256-9634
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-591-9635
Provider Business Mailing Address Fax Number:
330-591-4150

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5655 HUDSON DR
Provider Second Line Business Practice Location Address:
STE 315
Provider Business Practice Location Address City Name:
HUDSON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44236-4451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-591-9635
Provider Business Practice Location Address Fax Number:
330-591-4150
Provider Enumeration Date:
02/20/2014

Additional Information

Authorized Official

Authorized Official Last Name:
GIORDON
Authorized Official First Name:
MACHELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING SPECIALIST
Authorized Official Telephone Number:
330-723-2111

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  36003592 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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