MEDICARE: DR. CAROL KESHOCK D.P.M.

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	36-002485	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	480027726	OTHER	OH	MEDICARE RAILROAD PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295774529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL KESHOCK D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 450945
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-0622
Country	:	US
Telephone Number	:	216-409-2230
Fax Number	:	440-866-6700

Provider Business Practice Location Address
First Line	:	8787 BROOKPARK RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-6809
Country	:	US
Telephone Number	:	216-739-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	09/03/2025

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