MEDICARE: CENTERS FOR FOOT & ANKLE CARE 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1790760205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERS FOR FOOT & ANKLE CARE LLC

Provider Business Mailing Address
First Line	:	32743 23 MILE RD STE 210
Second Line	:
City	:	CHESTERFIELD
State	:	MI
Zip	:	48047-2176
Country	:	US
Telephone Number	:	586-725-3444
Fax Number	:	586-725-0984

Provider Business Practice Location Address
First Line	:	5315 DELHI RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-5214
Country	:	US
Telephone Number	:	513-922-2335
Fax Number	:	513-922-4454

Authorized Official
Title or Position	:	CMO
Name	:	STEPHEN THOMAS FRASCONE
Credential	:
Telephone Number	:	586-725-3444

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	02/09/2024

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