MEDICARE: DR. KRISTINA MARIE KOVACH 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
1	213E00000X	Podiatrist	36002928	OH

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	P00351773	OTHER	OH	RRCARE

General Provider Information

NPI Number	:	1669465142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTINA MARIE KOVACH DPM

Provider Business Mailing Address
First Line	:	PO BOX 639004
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-9004
Country	:	US
Telephone Number	:	440-895-5056
Fax Number	:	440-333-2935

Provider Business Practice Location Address
First Line	:	15800 DETROIT AVE
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3748
Country	:	US
Telephone Number	:	216-227-2194
Fax Number	:	216-227-2196

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	06/11/2019

Similar Medicare Providers

1760459978 — GEORGE M KHURI MD
Practice Location Address:

15800 DETROIT AVE , STE 400
LAKEWOOD, OH
44107-3748

Practice Phone: 216-226-8700
Practice Fax: 216-221-3171

1912287624 — KO NURSE PRACTITIONER, LLC
Practice Location Address:

15800 DETROIT AVE
LAKEWOOD, OH
44107-3748

Practice Phone: 216-226-8700
Practice Fax:

1184973521 — ROSEANN MARIE MESSINA
Practice Location Address:

15800 DETROIT AVE , SUITE D
LAKEWOOD, OH
44107-3748

Practice Phone: 440-570-6114
Practice Fax:

1982008561 — SARAH CATHERINE KUSEK FNP
Practice Location Address:

15800 DETROIT AVE
LAKEWOOD, OH
44107-3748

Practice Phone: 216-226-8700
Practice Fax: 216-221-3171

1669851812 — DR. MICHELLE HISAKO HALDEMAN D.P.M.
Practice Location Address:

15800 DETROIT AVE
LAKEWOOD, OH
44107-3748

Practice Phone: 162-227-2194
Practice Fax: 216-227-2196

1235646191 — LAKE POINT MEDICAL GROUP,LLC
Practice Location Address:

15800 DETROIT AVE STE 2A
LAKEWOOD, OH
44107-3748

Practice Phone: 216-226-8700
Practice Fax: 216-221-3171

Directions to “ DR. KRISTINA MARIE KOVACH DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.