MEDICARE: OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	213ES0103X	Foot & Ankle Surgery Podiatrist
2	213ES0131X	Foot Surgery Podiatrist
3	213EP1101X	Primary Podiatric Medicine Podiatrist

General Provider Information

NPI Number	:	1114323516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC

Provider Business Mailing Address
First Line	:	8175 MARKET ST
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44512-6244
Country	:	US
Telephone Number	:	330-629-8800
Fax Number	:	330-758-4914

Provider Business Practice Location Address
First Line	:	2380 SOUTHEAST BLVD
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460-3476
Country	:	US
Telephone Number	:	330-337-8870
Fax Number	:	330-337-6658

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	LAWRENCE DIDOMENICO
Credential	:	DPM
Telephone Number	:	330-629-8800

Provider Enumeration Date	:	11/12/2014
Last Update Date	:	11/12/2014

Similar Medicare Providers

1407328347 — NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Practice Location Address:

2380 SOUTHEAST BLVD
SALEM, OH
44460-3476

Practice Phone: 330-337-8870
Practice Fax: 330-337-6658

1316989775 — ANKLE AND FOOT CARE CENTERS
Practice Location Address:

2380 SOUTHEAST BLVD
SALEM, OH
44460-3476

Practice Phone: 330-337-8870
Practice Fax:

1811841414 — JOSHUA MICHAEL YOUNG PT, DPT, CSCS
Practice Location Address:

640 BRICKER FARMS LN
SALEM, OH
44460-1174

Practice Phone: 234-567-6322
Practice Fax:

1497619951 — OHIO EMERGENCY MEDICINE SERVICES
Practice Location Address:

1995 E STATE ST
SALEM, OH
44460-2423

Practice Phone: 330-332-1551
Practice Fax:

1780536904 — BENTON PASKU
Practice Location Address:

2955 E STATE ST STE 5
SALEM, OH
44460-9307

Practice Phone: 234-575-0174
Practice Fax:

1992662415 — MORGAN MORRIS
Practice Location Address:

1995 E STATE ST
SALEM, OH
44460-2423

Practice Phone: 330-332-1551
Practice Fax:

Directions to “OHIO PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.