Healthcare Provider Details

I. General information

NPI: 1811201908
Provider Name (Legal Business Name): SURESTEP FOOT & ANKLE MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2010
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11821 MASON MONTGOMERY RD # 4B
CINCINNATI OH
45249-3705
US

IV. Provider business mailing address

11821 MASON MONTGOMERY RD # 4B
CINCINNATI OH
45249-3705
US

V. Phone/Fax

Practice location:
  • Phone: 513-489-2400
  • Fax: 513-489-2455
Mailing address:
  • Phone: 513-489-2400
  • Fax: 513-489-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number36003288
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: JULIA ZEETSER
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 818-259-3859