GRAND LAKE FOOT & ANKLE INC
NPI 1841576998
Podiatrist in Celina, OH

NPI Status: Active since November 02, 2011

Contact Information

1222 IRMSCHER BLVD
CELINA, OH
ZIP 45822
Phone: (419) 586-7874
Fax: (419) 586-2776

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  • Organization
  • Podiatrist
  • CLIA Number: 36D0656247
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About GRAND LAKE FOOT & ANKLE INC

This page provides the complete NPI Profile along with additional information for Grand Lake Foot & Ankle Inc, a provider established in Celina, Ohio operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1841576998 assigned on November 2011. The practitioner's primary taxonomy code is 213E00000X with license number 36002772 (OH). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mary Benjamin Swonger Dpm (Dpm)

NPI
1841576998
Provider Name
GRAND LAKE FOOT & ANKLE INC
Entity Type
Organization
Location Address
1222 IRMSCHER BLVD CELINA, OH 45822
Location Phone
(419) 586-7874
Location Fax
(419) 586-2776
Mailing Address
1222 IRMSCHER BLVD CELINA, OH 45822
Mailing Phone
(419) 586-7874
Mailing Fax
(419) 586-2776
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2011
Last Update Date
03-22-2016
Code Navigator

A podiatrist like Grand Lake Foot & Ankle Inc 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.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
36002772
License State
OH
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY BENJAMIN SWONGER DPM

Authorized Official Title
DPM
Authorized Official Phone
(419) 586-7874

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6758710001MEDICARE NSC (07)OH 
DT5915MEDICARE PIN (08)OH 
0061420MEDICAID (05)OH 
H176620MEDICARE PIN (08)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0656247
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DR. ANDREA GONZALEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grand Lake Foot & Ankle Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1841576998, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 8 + 1 + 1 + 0 + 7 + 1 + 2 + 9 + 1 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1841576998.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
1222 IRMSCHER BLVD
CELINA, OH 45822

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841576998, enumerated as an "organization" on November 02, 2011.

The provider is located at 1222 IRMSCHER BLVD CELINA, OH 45822 and the phone number is (419) 586-7874.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.