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

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

Active since November 02, 2011
1222 IRMSCHER BLVD, CELINA, OH 45822(419) 586-7874(419) 586-2776 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grand Lake Foot & Ankle Inc NPPES

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

GRAND LAKE FOOT & ANKLE INC (NPI 1841576998) is a healthcare organization registered as a podiatrist in Celina, Ohio and active in the NPI registry since November 2011. The organization lists Mary Benjamin Swonger, Dpm, as its authorized official.

NPPES Registry Identity

NPI1841576998
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGRAND LAKE FOOT & ANKLE INC
Location Address1222 IRMSCHER BLVDCelina, OH 45822-8305
Mailing Address1222 Irmscher BlvdCelina, OH 45822-8305 · (419) 586-7874 · Fax (419) 586-2776
Phone(419) 586-7874
Fax(419) 586-2776
Organization SubpartNo
Authorized OfficialMary Benjamin SwongerDpm · (419) 586-7874
Enumeration DateNovember 2, 2011
Last NPPES UpdateMarch 22, 2016
✔ NPI 1841576998 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 · 36002772
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.
1222 IRMSCHER BLVD, Celina, OH 45822
Open in Google Maps ↗

Other Identifiers 4

Medicare NSC6758710001OH
Medicare PINDT5915OH
Medicaid0061420OH
Medicare PINH176620OH

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.

GRAND LAKE PODIATRY INC
Podiatrist (Foot & Ankle Surgery)
1222 IRMSCHER BLVD
CELINA, OH 45822
Mercer County (419) 586-7874

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 Foot & Ankle Inc's NPI number?

The NPI number for Grand Lake Foot & Ankle Inc is 1841576998. It was assigned to this organization in the NPPES registry on November 2, 2011.

Where is Grand Lake Foot & Ankle Inc located?

Grand Lake Foot & Ankle Inc is located at 1222 Irmscher Blvd, Celina, OH 45822. The listed phone number is (419) 586-7874.

What is Grand Lake Foot & Ankle Inc'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 Grand Lake Foot & Ankle Inc 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.