MEDICARE: CHOICE PODIATRY ASSOCIATES INC

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	213E00000X	Podiatrist	36002650	OH

General Provider Information

NPI Number	:	1114193414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE PODIATRY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	PO BOX 933400
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0038
Country	:	US
Telephone Number	:	513-574-2424
Fax Number	:	513-574-2479

Provider Business Practice Location Address
First Line	:	4455 BRIDGETOWN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-4442
Country	:	US
Telephone Number	:	513-574-2424
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAY T FEIST
Credential	:	DPM
Telephone Number	:	513-574-2424

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	07/29/2020

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