URBAN PODIATRY LLC NPI 1194957993

NPI Information

NPI: 1194957993
Provider Name: URBAN PODIATRY LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4485 N HIGH ST
COLUMBUS, OH
ZIP 43214
Phone: (614) 824-5336
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URBAN PODIATRY LLC is a foot and ankle surgery podiatrist in Columbus, OH. URBAN PODIATRY LLC NPI is 1194957993. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4485 N HIGH ST
COLUMBUS, OH
ZIP 43214-637
Phone: (614) 824-5336
Fax: (614) 732-4990

The provider's authorized official is Scot Francis Bertolo .
The authorized official title is Sole Member Of Llc and has the following contact phone number (614) 824-5336.

The enumeration date for this NPI number is 8/13/2009 and was last updated on 10/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	36.003201	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3014946	MEDICAID	OHIO
2	6681330001	MEDICARE NSC	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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