MEDICARE: SUMMIT WOUND CARE AND LIMB SALVAGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1013870930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT WOUND CARE AND LIMB SALVAGE

Provider Business Mailing Address
First Line	:	1972 FIRESTONE TRCE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-1155
Country	:	US
Telephone Number	:	216-509-0182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 E WATERLOO RD STE 203
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-3821
Country	:	US
Telephone Number	:	216-509-0182
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RENEE MACKEY
Credential	:	DPM
Telephone Number	:	216-509-0182

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	04/08/2026

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