MEDICARE: FOOT AND ANKLE PHYSICIANS OF 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	36003510	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	:	1922526698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT AND ANKLE PHYSICIANS OF OHIO, LLC

Provider Business Mailing Address
First Line	:	1325 STRINGTOWN RD STE 220
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-9288
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	:	43123-9288
Country	:	US
Telephone Number	:	614-782-3668
Fax Number	:	614-782-3674

Authorized Official
Title or Position	:	BILLING DIRECTOR
Name	:	LEANNE FLEMING
Credential	:
Telephone Number	:	614-782-3668

Provider Enumeration Date	:	09/01/2017
Last Update Date	:	09/11/2025

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