Provider Demographics
NPI:1104847391
Name:WEST CHESTER FOOT AND ANKLE CENTER INC
Entity Type:Organization
Organization Name:WEST CHESTER FOOT AND ANKLE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:GIESY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:937-840-0600
Mailing Address - Street 1:280 CHILLICOTHE AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-1536
Mailing Address - Country:US
Mailing Address - Phone:937-840-0600
Mailing Address - Fax:937-840-0700
Practice Address - Street 1:280 CHILLICOTHE AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-1536
Practice Address - Country:US
Practice Address - Phone:937-840-0600
Practice Address - Fax:937-840-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-2964213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9332381Medicare ID - Type Unspecified7322 KINGSGATE WAY
OH9332382Medicare ID - Type Unspecified1402 N HIGH ST
OH9332383Medicare ID - Type Unspecified550 MIRABEAU ST
OHCK8901Medicare PIN
OH9332386Medicare ID - Type Unspecified1156 COLUMBUS AVE