Healthcare Provider Details

I. General information

NPI: 1386561066
Provider Name (Legal Business Name): SURESTEP FOOT & ANKLE MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8280 MONTGOMERY RD STE 103
CINCINNATI OH
45236-6100
US

IV. Provider business mailing address

8280 MONTGOMERY RD STE 103
CINCINNATI OH
45236-6100
US

V. Phone/Fax

Practice location:
  • Phone: 513-984-1911
  • Fax: 513-984-1912
Mailing address:
  • Phone: 513-984-1911
  • Fax: 513-984-1912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: MIKE LEACH
Title or Position: CFO
Credential:
Phone: 614-286-5043