=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144202557
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN A FLAUTO DPM
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/19/2005
-----------------------------------------------------
Last Update Date | 01/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8591 CROSSROADS DRIVE
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44514-4382
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-758-0577
-----------------------------------------------------
Fax | 330-758-0466
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8591 CROSSROADS DRIVE
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44514-4382
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-758-0577
-----------------------------------------------------
Fax | 330-758-0466
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | 36-00-3137F
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------