Provider Demographics
NPI:1578644738
Name:ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC.
Entity Type:Organization
Organization Name:ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC.
Other - Org Name:REGIONAL PODIATRY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:RAMIG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:937-435-6585
Mailing Address - Street 1:2 PRESTIGE PL
Mailing Address - Street 2:STE 210
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-6141
Mailing Address - Country:US
Mailing Address - Phone:937-435-6585
Mailing Address - Fax:937-435-6563
Practice Address - Street 1:9000 N MAIN ST
Practice Address - Street 2:STE 203
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1165
Practice Address - Country:US
Practice Address - Phone:937-435-6585
Practice Address - Fax:937-435-6563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2985739Medicaid
OH9336472Medicare PIN
OH2985739Medicaid