MEDICARE: DR. ELIZABETH ANNE HEWITT 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	213ES0103X	Foot & Ankle Surgery Podiatrist	36.003510	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00961306	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1679712152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH ANNE HEWITT DPM

Provider Business Mailing Address
First Line	:	1325 STRINGTOWN RD STE 220
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-8911
Country	:	US
Telephone Number	:	614-782-3668
Fax Number	:	614-782-3674

Provider Business Practice Location Address
First Line	:	1325 STRINGTOWN RD STE 220
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-8911
Country	:	US
Telephone Number	:	614-782-3668
Fax Number	:	614-782-3674

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

Provider Enumeration Date	:	02/06/2009
Last Update Date	:	12/11/2018

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