Healthcare Provider Details

I. General information

NPI: 1578644738
Provider Name (Legal Business Name): ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 N MAIN ST STE 203
DAYTON OH
45415-1165
US

IV. Provider business mailing address

2 PRESTIGE PL STE 210
MIAMISBURG OH
45342-6141
US

V. Phone/Fax

Practice location:
  • Phone: 937-435-6585
  • Fax: 937-435-6563
Mailing address:
  • Phone: 937-435-6585
  • Fax: 937-435-6563

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: DAVID LAWRENCE RAMIG
Title or Position: OWNER
Credential: D.P.M.
Phone: 937-435-6585