MEDICARE: OHIO FOOT AND ANKLE CENTER, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	36-00-3273	OH
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1205846276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO FOOT AND ANKLE CENTER, LLC

Provider Business Mailing Address
First Line	:	250 OLDHAM WAY
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-2091
Country	:	US
Telephone Number	:	330-653-3312
Fax Number	:

Provider Business Practice Location Address
First Line	:	2127 STATE RD
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1427
Country	:	US
Telephone Number	:	330-929-3331
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AARON JON CHOKAN
Credential	:	DPM
Telephone Number	:	330-929-3331

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	05/15/2008

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