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WESTERN RESERVE FOOT CLINIC
NPI 1619192655
Podiatrist in Stow, OH

Active since April 16, 2007
4495 DARROW RD, STOW, OH 44224(330) 689-3338(330) 689-0282 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Western Reserve Foot Clinic NPPES

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

WESTERN RESERVE FOOT CLINIC (NPI 1619192655) is a healthcare organization registered as a podiatrist in Stow, Ohio and active in the NPI registry since April 2007. The organization lists Kenneth Harley Nixon, President, as its authorized official.

NPPES Registry Identity

NPI1619192655
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameHUDSON FOOT CLINIC, INC.
Location Address4495 DARROW RDStow, OH 44224-1854
Mailing Address4495 Darrow RdStow, OH 44224-1854 · (330) 689-3338 · Fax (330) 689-0282
Phone(330) 689-3338
Fax(330) 689-0282
Organization SubpartNo
Authorized OfficialKenneth Harley NixonPresident · (330) 689-3338
Enumeration DateApril 16, 2007
Last NPPES UpdateApril 23, 2009
✔ NPI 1619192655 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 · 36-00-2719
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.
4495 DARROW RD, Stow, OH 44224
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Other Names 1

Doing Business AsWestern Reserve Foot Clinic

Other Identifiers 4

Other480016282OH · Medicare Railroad
Medicare PINHU9268711OH
Medicare NSC1082080001OH
Medicaid2915742OH

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Western Reserve Foot Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Western Reserve Foot Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Nixon, D.P.M.
Podiatry
NPI 1679571939
4495 DARROW RD
Stow, OH 44224
(330) 689-3338
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hudson Foot Clinic, Inc.'s NPI number?

The NPI number for Hudson Foot Clinic, Inc. is 1619192655. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Western Reserve Foot Clinic.

Where is Hudson Foot Clinic, Inc. located?

Hudson Foot Clinic, Inc. is located at 4495 Darrow Rd, Stow, OH 44224. The listed phone number is (330) 689-3338.

What is Hudson Foot Clinic, Inc.'s specialty?

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

Is Hudson Foot Clinic, Inc. enrolled in Medicare?

Yes. Hudson Foot Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hudson Foot Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Hudson Foot Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hudson Foot Clinic, Inc. was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.