Provider Demographics
NPI:1205846276
Name:OHIO FOOT AND ANKLE CENTER, LLC
Entity Type:Organization
Organization Name:OHIO FOOT AND ANKLE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JON
Authorized Official - Last Name:CHOKAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:330-929-3331
Mailing Address - Street 1:250 OLDHAM WAY
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-2091
Mailing Address - Country:US
Mailing Address - Phone:330-653-3312
Mailing Address - Fax:
Practice Address - Street 1:2127 STATE RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1427
Practice Address - Country:US
Practice Address - Phone:330-929-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OHIO FOOT AND ANKLE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-09
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-3273213ES0103X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty