Provider Demographics
NPI:1093923138
Name:ATWAY, SAID (DPM)
Entity Type:Individual
Prefix:
First Name:SAID
Middle Name:
Last Name:ATWAY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-3668
Mailing Address - Fax:614-293-7414
Practice Address - Street 1:920 N HAMILTON RD
Practice Address - Street 2:STE 600
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-1757
Practice Address - Country:US
Practice Address - Phone:614-293-3668
Practice Address - Fax:614-293-7414
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35003514213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2978425Medicaid
OH4271701Medicare PIN