Provider Demographics
NPI:1346952157
Name:HEEL AND TOE PODIATRY LLC
Entity Type:Organization
Organization Name:HEEL AND TOE PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:419-722-7551
Mailing Address - Street 1:1021 SANDUSKY ST STE A
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-3120
Mailing Address - Country:US
Mailing Address - Phone:419-474-7700
Mailing Address - Fax:419-474-0896
Practice Address - Street 1:1021 SANDUSKY ST STE A
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-3120
Practice Address - Country:US
Practice Address - Phone:419-474-7700
Practice Address - Fax:419-474-0896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-23
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric