| Bennett King, | |
|
8175 Market St, Youngstown, OH 44512-6244 | |
| (330) 629-8800 | |
| Not Available |
| Full Name | Bennett King |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 8175 Market St, Youngstown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366068017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC007406 (Pennsylvania) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36.004129 (Ohio) | Primary |
| Provider Name | Northern Ohio Medical Specialists, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Bennett King, 8175 Market St, Youngstown, OH 44512-6244 Ph: () - | Bennett King, 8175 Market St, Youngstown, OH 44512-6244 Ph: (330) 629-8800 |
Ankle And Foot Care Centers Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5170 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-1080 | |
Dr. Nathan Shane, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8591 Crossroads Drive, Youngstown, OH 44514 Phone: 330-758-0577 Fax: 330-758-0466 | |
Louis Michael Chiaro, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7629 Market Street, Suite 100, Youngstown, OH 44460 Phone: 330-332-5232 Fax: 330-332-4771 | |
Heather A. Petrolla Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3507 Canfield Rd, Suite 7, Youngstown, OH 44511 Phone: 330-793-0566 Fax: 330-793-5767 | |
Dr. John A Flauto, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8591 Crossroads Drive, Youngstown, OH 44514 Phone: 330-758-0577 Fax: 330-758-0466 | |
Ankle And Foot Care Centers Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8175 Market St, Youngstown, OH 44512 Phone: 330-629-8800 Fax: 330-758-4914 | |
Angelo F. Petrolla Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3507 Canfield Rd, Suite 7, Youngstown, OH 44511 Phone: 330-793-0566 Fax: 330-793-5767 |