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NPI Code Detail

MEDICARE: MICHELLE ANANIA DPM

MEDICARE: MICHELLE ANANIA DPM
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
1213E00000XPodiatrist36-00-3092-AOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417954611
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ANANIA DPM
Provider Business Mailing Address
First Line : PO BOX 378
Second Line :
City : SANDUSKY
State : OH
Zip : 44871-0378
Country : US
Telephone Number : 419-626-6161
Fax Number : 419-502-3511
Provider Business Practice Location Address
First Line : 1450 S CANFIELD NILES RD
Second Line :
City : AUSTINTOWN
State : OH
Zip : 44515-4085
Country : US
Telephone Number : 330-270-2700
Fax Number : 330-792-2110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 02/21/2019

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Directions to “ MICHELLE ANANIA DPM” Practice Location

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