1. Home
  2. Directory
  3. Ohio
  4. Bluffton
  5. Podiatrist
  6. NPI Profile

GRAND LAKE PODIATRY, INC.
NPI 1548377500
Podiatrist - Foot & Ankle Surgery in Bluffton, OH

Active since August 24, 2006
148 N MAIN ST, BLUFFTON, OH 45817(419) 358-3050(419) 358-0240 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Grand Lake Podiatry, Inc. NPPES

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

GRAND LAKE PODIATRY, INC. (NPI 1548377500) is a healthcare organization registered as a foot & ankle surgery in Bluffton, Ohio and active in the NPI registry since August 2006. The organization lists Mary Katherine Benjamin-swonger, Podiatrist/owner-president, as its authorized official.

NPPES Registry Identity

NPI1548377500
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameGRAND LAKE PODIATRY, INC.
Location Address148 N MAIN STBluffton, OH 45817-1246
Mailing Address1222 Irmscher BlvdCelina, OH 45822-8305 · (419) 586-7874 · Fax (419) 586-2776
Phone(419) 358-3050
Fax(419) 358-0240
Organization SubpartNo
Authorized OfficialMary Katherine Benjamin-swongerPodiatrist/owner-president · (419) 586-7874
Enumeration DateAugust 24, 2006
Last NPPES UpdateApril 18, 2008
✔ NPI 1548377500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
148 N MAIN ST, Bluffton, OH 45817
Open in Google Maps ↗

Other Identifiers 4

Medicaid2057929OH
Medicare PIN9285762OH
Medicare NSC1153470003
Medicare PINCG6681

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 2

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

DANIEL WAYNE KIRK DPM
Podiatrist
148 N MAIN ST
BLUFFTON, OH 45817
Allen County (419) 358-3050
BLUFFTON FOOT AND ANKLE
Podiatrist
148 N MAIN ST
BLUFFTON, OH 45817
Allen County (419) 358-3050

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 Grand Lake Podiatry, Inc.'s NPI number?

The NPI number for Grand Lake Podiatry, Inc. is 1548377500. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Grand Lake Podiatry, Inc. located?

Grand Lake Podiatry, Inc. is located at 148 N Main St, Bluffton, OH 45817. The listed phone number is (419) 358-3050.

What is Grand Lake Podiatry, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Grand Lake Podiatry, Inc. was last updated on April 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.