Provider Demographics
NPI:1245603638
Name:CONTINUUM PODIATRY INC
Entity Type:Organization
Organization Name:CONTINUUM PODIATRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVACH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:614-440-3593
Mailing Address - Street 1:4200 REGENT ST
Mailing Address - Street 2:STE 200
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6229
Mailing Address - Country:US
Mailing Address - Phone:614-440-3593
Mailing Address - Fax:614-944-5722
Practice Address - Street 1:4200 REGENT ST
Practice Address - Street 2:STE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6229
Practice Address - Country:US
Practice Address - Phone:614-440-3593
Practice Address - Fax:614-944-5722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1447397468OtherNPI
1952448961OtherNPI
1447397468OtherNPI
U80989Medicare UPIN
1952448961OtherNPI
L94861Medicare PIN