Provider Demographics
NPI:1164538955
Name:CHIARAPPA-BRONZO, GINA F (DPM)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:F
Last Name:CHIARAPPA-BRONZO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 PORTAGE TRL
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3001
Mailing Address - Country:US
Mailing Address - Phone:330-923-0506
Mailing Address - Fax:330-923-0516
Practice Address - Street 1:615 PORTAGE TRL
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3001
Practice Address - Country:US
Practice Address - Phone:330-923-0506
Practice Address - Fax:330-923-0516
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2920213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000116098OtherANTHEM
0005292442OtherAETNA
1520980OtherUNITED MINE WORKERS
480022185OtherRAILROAD MEDICARE
OH732711OtherBUCKEYE COMMUNITY HEALTH
7845649002OtherCIGNA
OH0354683Medicaid
000000116098OtherANTHEM
U61159Medicare UPIN
CH0799991Medicare ID - Type Unspecified