MEDICARE: CHOICE PODIATRY ASSOCIATES 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	213E00000X	Podiatrist	36002669	OH

General Provider Information

NPI Number	:	1942476361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE PODIATRY ASSOCIATES INC

Provider Business Mailing Address
First Line	:	6200 PLEASANT AVE
Second Line	:	STE 3
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-4670
Country	:	US
Telephone Number	:	513-829-9333
Fax Number	:	513-858-7827

Provider Business Practice Location Address
First Line	:	6200 PLEASANT AVE
Second Line	:	STE 3
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-4670
Country	:	US
Telephone Number	:	513-829-9333
Fax Number	:	513-858-7827

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFREY D FLEY
Credential	:	DPM
Telephone Number	:	513-541-7325

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	08/04/2016

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