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COLONIAL FOOT & ANKLE CENTER LLC NPI 1053399964


NPI Information

NPI: 1053399964
Provider Name: COLONIAL FOOT & ANKLE CENTER LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
121 N EWING ST
LANCASTER, OH
ZIP 43130
Phone: (740) 653-2656
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COLONIAL FOOT & ANKLE CENTER LLC is a podiatrist in Lancaster, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. COLONIAL FOOT & ANKLE CENTER LLC NPI is 1053399964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 N EWING ST
LANCASTER, OH
ZIP 43130-364
Phone: (740) 653-2656
Fax: (740) 687-0300

The provider's authorized official is Jess Moore .
The authorized official title is Office Manager and has the following contact phone number (740) 653-2656.

The enumeration date for this NPI number is 1/3/2006 and was last updated on 3/24/2014.


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
1213E00000XPodiatristYes

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
15546630001MEDICARE NSCOHIO
29355191MEDICARE ID-TYPE UNSPECIFIEDOHIOGROUP NUMBER
32587204MEDICAIDOHIO
4DE6505OTHEROHIORAILROAD MEDICARE

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

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