Healthcare Provider Details

I. General information

NPI: 1922816941
Provider Name (Legal Business Name): SOLE FOOT & ANKLE SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 N HIGH ST STE 150
NEW ALBANY OH
43054-8915
US

IV. Provider business mailing address

68 N HIGH ST STE 150
NEW ALBANY OH
43054-8915
US

V. Phone/Fax

Practice location:
  • Phone: 614-741-4001
  • Fax:
Mailing address:
  • Phone: 614-741-4001
  • Fax: 614-656-7065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANIE STARAVECKA
Title or Position: OWNER
Credential: DPM
Phone: 614-432-1777