Provider Demographics
NPI:1497326839
Name:FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC
Entity Type:Organization
Organization Name:FOOT AND ANKLE SPECIALISTS OF CENTRAL OHIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GURWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-939-9330
Mailing Address - Street 1:426 BEECHER RD STE A
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3506
Mailing Address - Country:US
Mailing Address - Phone:614-939-9330
Mailing Address - Fax:614-939-9299
Practice Address - Street 1:1030 REFUGEE RD STE 295
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-3221
Practice Address - Country:US
Practice Address - Phone:614-545-4321
Practice Address - Fax:514-545-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty