Provider Demographics
NPI:1407158306
Name:FIRSTER, HAROLD OSCAR (DPM)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:OSCAR
Last Name:FIRSTER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44444-9485
Mailing Address - Country:US
Mailing Address - Phone:330-872-7076
Mailing Address - Fax:
Practice Address - Street 1:3440 W RIVER RD
Practice Address - Street 2:
Practice Address - City:NEWTON FALLS
Practice Address - State:OH
Practice Address - Zip Code:44444-9485
Practice Address - Country:US
Practice Address - Phone:330-872-7076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-27
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-00-1671-F213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0246522Medicaid
OH0246522Medicaid
OHT80398Medicare UPIN