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NPI Code Detail

MEDICARE: ADVANCED FOOT AND ANKLE SPECIALISTS, LLC

MEDICARE: ADVANCED FOOT AND ANKLE SPECIALISTS, 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
1332B00000XDurable Medical Equipment & Medical SuppliesOH
2213E00000XPodiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801874383
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED FOOT AND ANKLE SPECIALISTS, LLC
Provider Business Mailing Address
First Line : 8808 TYLER BLVD
Second Line :
City : MENTOR
State : OH
Zip : 44060-4361
Country : US
Telephone Number : 440-777-6017
Fax Number :
Provider Business Practice Location Address
First Line : 8808 TYLER BLVD
Second Line :
City : MENTOR
State : OH
Zip : 44060-4361
Country : US
Telephone Number : 440-255-6222
Fax Number : 440-255-4321
Authorized Official
Title or Position : PRESIDENT
Name : KEVIN BILANT
Credential : DPM
Telephone Number : 440-255-6222
Provider Enumeration Date : 01/05/2006
Last Update Date : 12/29/2009

Similar Medicare Providers

1154300556 — KEVIN BILANT DPM
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44060-4361
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1881709285 — MRS. MANDY LYNNE WILLIS PT
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1821197914 — TROY A ZIGMAN PT
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1568688026 — HANDS ON PHYSICAL THERAPY OF MENTOR, LLC
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1245434307 — JENNIFER MARIE NIESET PT
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Directions to “ADVANCED FOOT AND ANKLE SPECIALISTS, LLC ” Practice Location

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