MEDICARE: ADVANCED FOOT AND ANKLE SURGEONS,INC

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	36002996	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

General Provider Information

NPI Number	:	1902185549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED FOOT AND ANKLE SURGEONS,INC

Provider Business Mailing Address
First Line	:	5111 SEVEN PINES DR
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44053-3313
Country	:	US
Telephone Number	:	440-537-8312
Fax Number	:

Provider Business Practice Location Address
First Line	:	860 WOODVILLE RD
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44907-2167
Country	:	US
Telephone Number	:	440-537-8312
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RALPH G OSTING
Credential	:	DPM
Telephone Number	:	440-537-8312

Provider Enumeration Date	:	08/14/2011
Last Update Date	:	05/16/2024

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