GRAND LAKE PODIATRY INC
NPI 1992977987
Podiatrist - Foot & Ankle Surgery in Van Wert, OH

Q: What is Grand Lake Podiatry Inc's NPI number?

The NPI number for Grand Lake Podiatry Inc is 1992977987. It was assigned to this organization in the NPPES registry on March 31, 2008.

Q: 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.

Active since March 31, 2008

140 FOX RD, STE104, VAN WERT, OH 45891(419) 586-7874(419) 586-2776 Get Directions Write a Review

NPPES record last updated: February 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grand Lake Podiatry Inc NPPES

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

GRAND LAKE PODIATRY INC (NPI 1992977987) is a healthcare organization registered as a foot & ankle surgery in Van Wert, Ohio and active in the NPI registry since March 2008. The organization lists Mary Katherine Benjamin-swonger, Podiatrist/owner-president, as its authorized official.

NPPES Registry Identity

NPI1992977987

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameGRAND LAKE PODIATRY INC

Location Address140 FOX RD, STE104Van Wert, OH 45891-2475

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 Katherine Benjamin-swongerPodiatrist/owner-president · (419) 586-7874

Enumeration DateMarch 31, 2008

Last NPPES UpdateFebruary 1, 2011

✔ NPI 1992977987 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

License✔ Licensed in OH · 36 002772

140 FOX RD, Van Wert, OH 45891

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Other Identifiers 4

Medicare NSC1153470005

Medicare PIN9285767OH

Medicare PINCG6681

Medicaid2544894OH

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 20

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

PHYSICAL MEDICINE CENTER OF VAN WERT, INC.

Physical Medicine & Rehabilitation

140 FOX RD, SUITE 303
VAN WERT, OH 45891

Van Wert County (419) 232-6333

KATHY MARIE CARR PH.D.

Psychologist

140 FOX RD, SUITE 303
VAN WERT, OH 45891

Van Wert County (419) 232-6010

VAN WERT MEDICAL SERVICES, LTD.

Podiatrist

140 FOX RD, SUITE 104
VAN WERT, OH 45891

Van Wert County (419) 232-5291

HOPE CANCER CENTER OF NORTHWEST OHIO

Internal Medicine (Hematology & Oncology)

140 FOX RD, SUITE 104
VAN WERT, OH 45891

Van Wert County (419) 238-0004

SHELLEY KREEGER AT

Specialist/Technologist (Athletic Trainer)

140 FOX RD, SUITE 101
VAN WERT, OH 45891

Van Wert County (419) 238-8691

DR. MATTHEW W. MILLER M.D.

Family Medicine

140 FOX RD, SUITE 202
VAN WERT, OH 45891

Van Wert County (419) 238-6735

KELLY JAE STRALEY CNP

Nurse Practitioner (Occupational Health)

140 FOX RD
VAN WERT, OH 45891

Van Wert County (419) 232-5279

DENTAL CENTER OF NORTHWEST OHIO

Clinic/Center (Dental)

140 FOX RD, SUITE 207
VAN WERT, OH 45891

Van Wert County (419) 241-1644

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 1992977987. It was assigned to this organization in the NPPES registry on March 31, 2008.

Where is Grand Lake Podiatry Inc located?

Grand Lake Podiatry Inc is located at 140 Fox Rd Ste104, Van Wert, OH 45891. The listed phone number is (419) 586-7874.

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 February 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.