Healthcare Provider Details

I. General information

NPI: 1659373496
Provider Name (Legal Business Name): FRANK E. VARGO D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 10/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18181 PEARL RD SUITE B-200
STRONGSVILLE OH
44136-6949
US

IV. Provider business mailing address

18181 PEARL RD SUITE B-200
STRONGSVILLE OH
44136-6949
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-4999
  • Fax: 440-816-5973
Mailing address:
  • Phone: 440-816-4999
  • Fax: 440-816-5973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number36-00-2252-V
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number36-00-2252-V
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: