MEDICARE: DELAWARE PODIATRY CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BC3200X	Customized Equipment (DME)
3	213EP1101X	Primary Podiatric Medicine Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DA5911	OTHER	OH	RAILROAD MEDICARE

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
2	030507736A11	OTHER	OH	ANTHEM
3	4778110001	OTHER	OH	ADMINASTAR

General Provider Information

NPI Number	:	1588697767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELAWARE PODIATRY CENTER LLC

Provider Business Mailing Address
First Line	:	575 COPELAND MILL RD STE 2F
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-8977
Country	:	US
Telephone Number	:	614-891-2828
Fax Number	:	614-891-5411

Provider Business Practice Location Address
First Line	:	357 W CENTRAL AVE
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-1476
Country	:	US
Telephone Number	:	740-369-3071
Fax Number	:	740-369-5188

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	TINA L CHRISTY
Credential	:
Telephone Number	:	614-891-2828

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	03/10/2026

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Directions to “DELAWARE PODIATRY CENTER LLC ” Practice Location

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