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NPI Code Detail

MEDICARE: UNITED PODIATRY INC

MEDICARE: UNITED PODIATRY 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
1213ES0103XFoot & Ankle Surgery Podiatrist36.003759OH

General Provider Information

NPI Number : 1396106613
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED PODIATRY INC
Provider Business Mailing Address
First Line : 1930 STATE ROUTE 59
Second Line :
City : KENT
State : OH
Zip : 44240-4112
Country : US
Telephone Number : 330-673-3505
Fax Number : 330-300-8030
Provider Business Practice Location Address
First Line : 1930 STATE ROUTE 59 STE D
Second Line :
City : KENT
State : OH
Zip : 44240-4112
Country : US
Telephone Number : 330-673-3505
Fax Number : 330-673-4888
Authorized Official
Title or Position : PRESIDENT
Name : RODNEY SCOTT
Credential : DPM
Telephone Number : 330-673-3505
Provider Enumeration Date : 03/14/2016
Last Update Date : 03/05/2026

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Directions to “UNITED PODIATRY INC ” Practice Location

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