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860 E Broad St, Elyria, OH 44035-6542 | |
| (440) 322-4220 | |
| (440) 322-4713 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 860 E Broad St, Elyria, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295917318 | NPI | - | NPPES |
| 42587891 | Other | OH | MED. MUT. OF OHIO/SELECT |
| 8333415578 | Other | OH | MED. MUT. OF OHIO/GMCS |
| 000000116728 | Other | OH | ANTHEM BC/BS |
| 480006005 | Other | OH | RAILROAD MEDICARE |
| 0644379 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 36002297 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
860 E Broad St, Elyria, OH 44035-6542 Ph: (440) 322-4220 | 860 E Broad St, Elyria, OH 44035-6542 Ph: (440) 322-4220 |
William J Scott Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 10325 Dewhurst Rd, Elyria, OH 44035 Phone: 440-973-8199 Fax: 513-858-7827 | |
Mark I Winters, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1100 N Abbe Rd, Ste D, Elyria, OH 44035 Phone: 440-365-2502 | |
Universal Practice Partners 007 Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1100 N Abbe Rd, Suite D, Elyria, OH 44035 Phone: 440-365-2502 | |
Elyria Foot Clinic Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1170 E Broad St, Suite 104, Elyria, OH 44035 Phone: 440-366-6029 Fax: 440-366-6064 | |
Dr. Frederick Jay Prizant, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1100 N Abbe Rd, Suite D, Elyria, OH 44035 Phone: 440-365-2502 | |
Kimberly Nichelson Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, Elyria, OH 44035 Phone: 419-750-0041 |