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GRADY PODIATRY LLC
NPI 1508277963
Podiatrist in Avon, OH

Active since May 19, 2014
1502 LEAR INDUSTRIAL PKWY, 1A, AVON, OH 44011(440) 937-5400(440) 937-5533 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grady Podiatry Llc NPPES

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

GRADY PODIATRY LLC (NPI 1508277963) is a healthcare organization registered as a podiatrist in Avon, Ohio and active in the NPI registry since May 2014. The organization lists Jack R Grady, Dpm, as its authorized official.

NPPES Registry Identity

NPI1508277963
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGRADY PODIATRY LLC
Location Address1502 LEAR INDUSTRIAL PKWY, 1AAvon, OH 44011-1379
Mailing Address20800 Westgate Mall, 401Fairview Park, OH 44126-1323 · (440) 333-7722 · Fax (440) 356-0310
Phone(440) 937-5400
Fax(440) 937-5533
Organization SubpartNo
Authorized OfficialJack R GradyDpm · (440) 937-5400
Enumeration DateMay 19, 2014
Last NPPES UpdateMarch 22, 2016
✔ NPI 1508277963 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 · 36003597
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.
1502 LEAR INDUSTRIAL PKWY, Avon, OH 44011
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Other Identifiers 1

Medicare NSC6694280002OH

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT LAKES PODIATRY CENTER, INC
Podiatrist
1502 LEAR INDUSTRIAL PKWY, SUITE 1A
AVON, OH 44011
Lorain County (440) 937-5400

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 Grady Podiatry LLC's NPI number?

The NPI number for Grady Podiatry LLC is 1508277963. It was assigned to this organization in the NPPES registry on May 19, 2014.

Where is Grady Podiatry LLC located?

Grady Podiatry LLC is located at 1502 Lear Industrial Pkwy 1A, Avon, OH 44011. The listed phone number is (440) 937-5400.

What is Grady Podiatry 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 Grady Podiatry LLC was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.