Provider Demographics
NPI:1376277947
Name:OHIO FOOT & ANKLE, INC
Entity Type:Organization
Organization Name:OHIO FOOT & ANKLE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MASCIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-895-8747
Mailing Address - Street 1:350 W WILSON BRIDGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2591
Mailing Address - Country:US
Mailing Address - Phone:614-505-8990
Mailing Address - Fax:614-895-8810
Practice Address - Street 1:2030 STRINGTOWN RD STE 210
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-3993
Practice Address - Country:US
Practice Address - Phone:614-895-8747
Practice Address - Fax:614-895-8810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OHIO FOOT & ANKLE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Multi-Specialty