Provider Demographics
NPI:1033255526
Name:AKRON AMBULATORY FOOT SURGEONS INC
Entity Type:Organization
Organization Name:AKRON AMBULATORY FOOT SURGEONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-724-8689
Mailing Address - Street 1:335 E WATERLOO RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-1218
Mailing Address - Country:US
Mailing Address - Phone:330-724-8689
Mailing Address - Fax:330-724-5470
Practice Address - Street 1:335 E WATERLOO RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-1218
Practice Address - Country:US
Practice Address - Phone:330-724-8689
Practice Address - Fax:330-724-5470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0940343Medicaid
0537460001Medicare NSC
OH0940343Medicaid