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JLA SENIOR FOOTCARE OH PA LLC
NPI 1376859298
Podiatrist in Canfield, OH

Active since August 30, 2010
6715 TIPPECANOE RD BLDG F, CANFIELD, OH 44406(330) 702-0978(330) 286-3202 Get Directions Write a Review

NPPES record last updated: June 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jla Senior Footcare Oh Pa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JLA SENIOR FOOTCARE OH PA LLC (NPI 1376859298) is a healthcare organization registered as a podiatrist in Canfield, Ohio and active in the NPI registry since August 2010. The organization lists Anthony E Innocenzi, Owner, as its authorized official.

NPPES Registry Identity

NPI1376859298
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameJLA SENIOR FOOTCARE OH PA LLC
Location Address6715 TIPPECANOE RD BLDG FCanfield, OH 44406-8180
Mailing Address4870 S Aspen CtCanfield, OH 44406-8469 · (330) 702-0978 · Fax (330) 286-3202
Phone(330) 702-0978
Fax(330) 286-3202
Organization SubpartNo
Authorized OfficialAnthony E InnocenziOwner · (330) 702-0978
Enumeration DateAugust 30, 2010
Last NPPES UpdateJune 24, 2011
✔ NPI 1376859298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OH · 36003012
Definition

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.

6715 TIPPECANOE RD BLDG F, Canfield, OH 44406
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Other Identifiers 3

Medicare PIN9391471OH
Medicare NSC6506710001OH
Medicaid3095896OH

Group Practice 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jla Senior Footcare Oh PA LLC's NPI number?

The NPI number for Jla Senior Footcare Oh PA LLC is 1376859298. It was assigned to this organization in the NPPES registry on August 30, 2010.

Where is Jla Senior Footcare Oh PA LLC located?

Jla Senior Footcare Oh PA LLC is located at 6715 Tippecanoe Rd Bldg F, Canfield, OH 44406. The listed phone number is (330) 702-0978.

What is Jla Senior Footcare Oh PA LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Jla Senior Footcare Oh PA LLC was last updated on June 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.