ADVANCED FOOT AND ANKLE CARE NPI 1023293412

Podiatrist in Canton, OH

NPI 1023293412 Organization Podiatrist

About ADVANCED FOOT AND ANKLE CARE

Advanced Foot And Ankle Care is a provider established in Canton, Ohio specializing in podiatrist. The NPI number of Advanced Foot And Ankle Care is 1023293412 and was assigned on January 2008. The practitioner's primary taxonomy code is 213E00000X with license number 36. 001949 (OH). The provider is registered as an organization and their NPI record was last updated 13 years ago. Advanced Foot And Ankle Care operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Marvin R. Boren Dpm (President)

A podiatrist like Advanced Foot And Ankle Care provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

NPI

1023293412

Provider NameADVANCED FOOT AND ANKLE CARE
Provider Location Address4642 HILLS DALES RD NW CANTON, OH 44708
Provider Mailing Address4642 HILLS DALES RD NW CANTON, OH 44708
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-03-2008
Last Update Date07-14-2008


Primary Taxonomy

Taxonomy Code213E00000X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.36. 001949
License StateOH
Taxonomy DescriptionA 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.

Business Address

ADVANCED FOOT AND ANKLE CARE
4642 HILLS DALES RD NW
CANTON, OH
ZIP 44708
Phone: (330) 477-4400

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Mailing Address

ADVANCED FOOT AND ANKLE CARE
4642 HILLS DALES RD NW
CANTON, OH
ZIP 44708
Phone: (330) 477-4400



Authorized Official

Authorized Official Name MARVIN R. BOREN DPM
Authorized Official TitlePRESIDENT
Authorized Official Phone(330) 477-4400

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
9297531MEDICARE PIN (08)
T80490MEDICARE UPIN (02)
2056466MEDICAID (05)OH
0432960001MEDICARE NSC (07)OH

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356322283 MARVIN R. BOREN DPM
Individual
Podiatrist4642 HILLS DALES RD NW
CANTON, OH 44708
(330) 477-4400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.