MASSILLON FOOT & ANKLE CLINIC, INC; NPI #1659560050

Contact Information

MASSILLON FOOT & ANKLE CLINIC, INC

934 AMHERST RD NE
SUITE 104
MASSILLON, OH 44646

Phone: 330-833-3668
Fax: 330-833-2267
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for MASSILLON FOOT & ANKLE CLINIC, INC

NPI Number 1659560050

LBN Legal business name MASSILLON FOOT & ANKLE CLINIC, INC

Authorized official FRANK STODDARD - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/22/2007

Last updated 09/15/2023 - About 3 years ago

Identifiers

OH	License #	3130
OH	Medicaid	2135657

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MASSILLON FOOT & ANKLE CLINIC, INC

Contact Information

Specialty

Surgery, Foot

NPI Profile & details for MASSILLON FOOT & ANKLE CLINIC, INC

Reviews for MASSILLON FOOT & ANKLE CLINIC, INC