MEDICARE: FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO, LLC

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	OH002584	OH

General Provider Information

NPI Number	:	1629382247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO, LLC

Provider Business Mailing Address
First Line	:	680 BUCKLES CT, N
Second Line	:	STE 2A
City	:	GAHANNA
State	:	OH
Zip	:	43230-6928
Country	:	US
Telephone Number	:	614-339-2000
Fax Number	:	614-939-9299

Provider Business Practice Location Address
First Line	:	680 BUCKLES CT, N
Second Line	:	STE 2A
City	:	GAHANNA
State	:	OH
Zip	:	43230-6928
Country	:	US
Telephone Number	:	614-339-2000
Fax Number	:	614-939-9299

Authorized Official
Title or Position	:	OWNER PHYSICIAN
Name	:	DR. SCOTT DAVID GURWIN
Credential	:	DPM
Telephone Number	:	614-339-2000

Provider Enumeration Date	:	08/06/2010
Last Update Date	:	01/18/2024

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